Individual
LYNN MARIE DEROSIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7295 GLORY RD, BAXTER, MN 56425-7308
(218) 829-5510
(218) 825-9141
Mailing address
7295 GLORY RD, BAXTER, MN 56425-7308
(218) 829-5510
(218) 825-9141
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
116568
MN
Other
Enumeration date
10/19/2020
Last updated
10/19/2020
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