Individual
MR. GARY ALLAN RAINES
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
R. PHARM
Contact information
Practice address
1685 RICE ST, ROSEVILLE, MN 55113-6802
(651) 488-0251
(651) 488-7517
Mailing address
2582 PARKVIEW CT, WHITE BEAR LAKE, MN 55110-5784
(651) 653-7715
(651) 488-7517
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
111319-0
MN
Other
Enumeration date
06/18/2006
Last updated
07/08/2007
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