Individual
DANIEL ADDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
790 HIGHWAY 110, MENDOTA HEIGHTS, MN 55120-1509
(651) 414-3787
Mailing address
790 HIGHWAY 110, MENDOTA HEIGHTS, MN 55120-1509
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
122235
MN
Other
Enumeration date
06/17/2015
Last updated
06/17/2015
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