Individual
ADEN CASEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
121 W LAKE ST, CHISHOLM, MN 55719-1818
(218) 254-3318
Mailing address
121 W LAKE ST, CHISHOLM, MN 55719-1818
(218) 254-3318
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
727455
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
727455
BOARD OF PHARMACY LICENSE
MN
Enumeration date
06/24/2020
Last updated
06/24/2020
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