Individual
JACQUELINE MARIE RETKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
1527 DEERWOOD BND, EAGAN, MN 55122-1916
(651) 468-9575
(651) 204-0881
Mailing address
1527 DEERWOOD BND, EAGAN, MN 55122-1916
(651) 468-9575
(651) 204-0881
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
116441
MN
Other
Enumeration date
03/09/2007
Last updated
07/08/2007
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