Individual
BRUCE WHITEHOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
4950 COUNTY ROAD 101, MINNETONKA, MN 55345
(952) 938-3566
(952) 935-6810
Mailing address
4950 COUNTY ROAD 101, MINNETONKA, MN 55345
(952) 938-3566
(952) 935-6810
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
111598
MN
Other
Enumeration date
12/02/2011
Last updated
12/02/2011
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