Individual
MRS. CHRISTINA BODEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
121 DEPOT DR., WACONIA, MN 55387
(952) 442-2146
(952) 442-5643
Mailing address
121 DEPOT DR., WACONIA, MN 55387
(952) 442-2146
(952) 442-5643
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1162219
MN
Other
Enumeration date
06/02/2006
Last updated
09/24/2008
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