Individual
MRS. KATHLEEN MARIE MADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
4570 COUNTY HWY 61, MOOSE LAKE, MN 55767
(218) 485-2111
(218) 485-8256
Mailing address
4240 COUNTY ROAD 11, BARNUM, MN 55707-8731
(218) 389-0094
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
114553
MN
Other
Enumeration date
06/19/2013
Last updated
06/19/2013
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