Individual
KATERINA GONCHARUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARD
Contact information
Practice address
2730 COUNTY ROAD E E, WHITE BEAR LAKE, MN 55110-4963
(651) 777-6816
Mailing address
6073 158TH ST W, APPLE VALLEY, MN 55124-6167
(612) 636-8405
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
119747
MN
Other
Enumeration date
03/06/2020
Last updated
03/06/2020
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