Individual
JOHN C. SANDSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1788 OLD HUDSON RD, SAINT PAUL, MN 55119-4307
(651) 731-9633
Mailing address
1788 OLD HUDSON RD, SAINT PAUL, MN 55119-4307
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
120081
MN
Other
Enumeration date
11/25/2011
Last updated
11/25/2011
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