Individual
MR. KENNETH LEE SALBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1611 W COUNTY ROAD C, ROSEVILLE, MN 55113-1302
(651) 636-9369
(651) 636-4015
Mailing address
1611 COUNTY ROAD C W, ROSEVILLE, MN 55113-1302
(651) 636-9369
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
114538
MN
Other
Enumeration date
11/02/2011
Last updated
11/29/2011
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