Individual
MR. THEODORE THEODORE ALLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
5630 SAINT CROIX TRL, NORTH BRANCH, MN 55056-4202
(651) 674-9956
(651) 674-9907
Mailing address
5630 SAINT CROIX TRL, NORTH BRANCH, MN 55056-4202
(651) 674-9956
(651) 674-9907
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
111864
MN
Other
Enumeration date
03/25/2014
Last updated
03/25/2014
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