Individual
JAMES POLUCHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
2187 FOURTH STREET, WHITE BEAR LAKE, MN 55110
(651) 429-5356
(651) 429-0425
Mailing address
2187 FOURTH STREET, WHITE BEAR LAKE, MN 55110
(651) 429-5356
(651) 429-0425
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
116579
MN
Other
Enumeration date
03/28/2011
Last updated
03/31/2011
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