Individual
MR. JON EVENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
10501 FLORIDA AVE S, BLOOMINGTON, MN 55438-2553
(952) 854-1082
Mailing address
10501 FLORIDA AVE S, BLOOMINGTON, MN 55438-2553
(952) 854-1082
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
115013
MN
Other
Enumeration date
02/22/2017
Last updated
02/22/2017
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