Individual
NEIL SKUPA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7070 TAMARACK RD, WOODBURY, MN 55125-1205
(612) 540-5458
Mailing address
2455 COUNTY ROAD E E, WHITE BEAR LAKE, MN 55110-4805
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
122683
MN
Other
Enumeration date
12/27/2021
Last updated
12/27/2021
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