Individual
KELLY LYNN BREEMEERSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
10686 UNIVERSITY AVE NW, COON RAPIDS, MN 55448-6141
(763) 755-1259
Mailing address
5598 BRICKSTONE CT, SHOREVIEW, MN 55126-4822
(651) 415-1134
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
115829
MN
Other
Enumeration date
10/24/2011
Last updated
10/24/2011
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