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Individual

RICHARD WALTER SEEGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
105 INTERNATIONAL DR, RED LAKE FALLS, MN 56750-4665
(218) 253-3480
(218) 253-3425
Mailing address
309 BOTTINEAU AVE NW, RED LAKE FALLS, MN 56750-4101
(218) 253-4471

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
113136
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
113136
MN PHARMACY LICENSE NUMBER
MN
Enumeration date
07/22/2013
Last updated
08/01/2013
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