Individual
SARA LEISTICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3301 7TH AVE, ANOKA, MN 55303-4516
(651) 431-5337
Mailing address
3301 7TH AVE, ANOKA, MN 55303-4516
(651) 431-5337
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
125180
MN
Other
Enumeration date
08/09/2021
Last updated
08/09/2021
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