Individual
EVA JEPTOO SEREM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD.
Contact information
Practice address
3633 BUNKER LAKE BLVD NW, ANDOVER, MN 55304-7402
(763) 421-5011
Mailing address
6160 QUINWOOD LN N APT 6316, PLYMOUTH, MN 55442-1311
(612) 237-6282
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
123908
MN
Other
Enumeration date
04/22/2020
Last updated
04/22/2020
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