Individual
MRS. TERESA RENAE GRUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH
Contact information
Practice address
24760 HOSPITAL DR NW, RED LAKE, MN 56671-3106
(218) 679-2825
(218) 679-0189
Mailing address
24760 HOSPITAL DR, RED LAKE, MN 56671-3106
(218) 679-2825
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
115362-6
MN
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
115362
MN
Other
Enumeration date
11/29/2005
Last updated
10/17/2019
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