Individual
LYNNE RITA ANSETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 30TH AVE S, MOORHEAD, MN 56560-4926
(218) 331-2668
Mailing address
700 30TH AVE S, MOORHEAD, MN 56560-4926
(218) 331-2668
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
117224
MN
Other
Enumeration date
08/16/2020
Last updated
08/16/2020
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