Individual
SALLY KASTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4100 W BROADWAY AVE, ROBBINSDALE, MN 55422-1809
(763) 537-9487
Mailing address
4100 W BROADWAY AVE, ROBBINSDALE, MN 55422-1809
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
116374
MN
Other
Enumeration date
10/25/2011
Last updated
10/25/2011
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