Individual
TRICIA RENAE ODONOVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMASCIST
Contact information
Practice address
115 GARFIELD ST N, CAMBRIDGE, MN 55008-1765
(763) 552-3103
(763) 552-3106
Mailing address
2052 352ND AVE NE, CAMBRIDGE, MN 55008-8037
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
117377
MN
Other
Enumeration date
10/24/2011
Last updated
10/24/2011
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