Individual
PAUL JACOB FAULKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
24760 HOSPITAL DRIVE, RED LAKE, MN 56671
(218) 679-2825
Mailing address
1109 DEWEY AVE NE APT 3, BEMIDJI, MN 56601-3901
(574) 807-1115
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
7261178
ID
Other
Enumeration date
08/29/2024
Last updated
08/29/2024
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