Individual
DALE RUDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
320 22ND AVE NE, WASECA, MN 56093-2670
(507) 835-8184
(507) 835-1821
Mailing address
320 22ND AVE NE, WASECA, MN 56093-2670
(507) 835-1821
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
114814
MN
Other
Enumeration date
10/19/2020
Last updated
10/19/2020
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