Individual
JONATHON MONTAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
122 WABASHA ST S, SAINT PAUL, MN 55107-1896
(612) 254-9505
(612) 328-9026
Mailing address
122 WABASHA ST S, SAINT PAUL, MN 55107-1896
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
121025
MN
Other
Enumeration date
08/03/2020
Last updated
08/03/2020
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