Individual
KENDRA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
206 N MAIN ST, CROOKSTON, MN 56716-1743
(218) 281-2540
Mailing address
1901 PIRATE DR APT 214, CROOKSTON, MN 56716-2636
(307) 250-2231
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4242
WY
Other
Enumeration date
08/11/2020
Last updated
08/11/2020
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