Individual
LISA S OSTLUND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
8000 LAKELAND AVE N, BROOKLYN PARK, MN 55445-2403
(763) 424-7077
Mailing address
8051 MAGNOLIA LN N, MAPLE GROVE, MN 55369-7177
(612) 387-9211
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
116260
MN
Other
Enumeration date
10/13/2020
Last updated
10/13/2020
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