Individual
DANELLE MARY VANDERMAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 JUNIPER AVE, WADENA, MN 56482-1041
(218) 631-1723
(218) 631-1728
Mailing address
100 JUNIPER AVE, WADENA, MN 56482-1041
(218) 631-1723
(218) 631-1728
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
118509
MN
Other
Enumeration date
10/14/2020
Last updated
10/14/2020
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