Individual
MARK JOSEPH KASELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
4801 VETERANS DR, SAINT CLOUD, MN 56303-2015
(320) 255-6465
Mailing address
4801 VETERANS DR, SAINT CLOUD, MN 56303-2015
(320) 255-6465
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
120445
MN
1835P2201X
Ambulatory Care Pharmacist
Primary
120445
MN
Other
Enumeration date
08/24/2011
Last updated
02/11/2025
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