Individual
CHRIS LOVELESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9 CENTRAL AVE E, SAINT MICHAEL, MN 55376-9520
(763) 497-8503
Mailing address
23195 128TH ST NW, ELK RIVER, MN 55330-5300
(623) 229-5866
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
MN119141
MN
Other
Enumeration date
11/01/2011
Last updated
11/01/2011
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