Individual
EMILIE HUDALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1 VETERANS DR, MINNEAPOLIS, MN 55417-2309
(612) 467-4373
Mailing address
1 VETERANS DR # 119, MINNEAPOLIS, MN 55417-2309
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
123281
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
123281
PHARMACIST LICENSE
MN
Enumeration date
02/23/2018
Last updated
01/25/2020
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