Individual
AMANDA LYNN FARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6510 CEDAR LAKE RD S, ST LOUIS PARK, MN 55426-2811
(507) 327-0302
Mailing address
6510 CEDAR LAKE RD S, ST LOUIS PARK, MN 55426-2811
(507) 327-0302
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
727643
MN
Other
Enumeration date
03/08/2017
Last updated
03/08/2017
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