Individual
DOUGLAS KAASA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
1305 HIGHWAY 10 W, DETROIT LAKES, MN 56501-2214
(218) 847-9755
(847) 747-1701
Mailing address
1305 HIGHWAY 10 W, DETROIT LAKES, MN 56501-2214
(218) 847-9755
(847) 747-1701
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
115112
MN
183500000X
Pharmacist
3549
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
115112
MINNESOTA STATE PHARMACY LICENSE
MN
Enumeration date
03/31/2016
Last updated
03/31/2016
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