Individual
TODD WAHLSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1008 HIGHWAY 55 E, BUFFALO, MN 55313-8906
(763) 682-5828
(763) 682-5968
Mailing address
1008 HIGHWAY 55 E, BUFFALO, MN 55313-8906
(763) 682-5828
(763) 682-5968
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
115075
MN
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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