Individual
MS. KELLY JO HIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
2211 11TH ST. E., GLENCOE, MN 55336
(320) 864-5192
(320) 864-2767
Mailing address
2211 11TH ST. E., GLENCOE, MN 55336
(320) 864-5192
(320) 864-2767
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
116179
MN
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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