Individual
JENNA WENTZLAFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
320 E MAIN ST, CROSBY, MN 56441-1645
(218) 546-2345
(218) 564-4330
Mailing address
320 E MAIN ST, CROSBY, MN 56441-1645
(218) 546-2345
(218) 564-4330
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
121902
MN
Other
Enumeration date
09/25/2020
Last updated
09/25/2020
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