Individual
KASSANDRA GRIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
321 JEFFERSON ST N, WADENA, MN 56482-1372
(218) 631-4050
Mailing address
321 JEFFERSON ST N, WADENA, MN 56482-1372
(218) 631-4050
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
122826
MN
Other
Enumeration date
07/01/2016
Last updated
07/01/2016
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