Individual
DR. BENJAMIN WOODROW FRITCHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
645 LAKE ST S, LONG PRAIRIE, MN 56347-1545
(320) 732-2915
Mailing address
1535 7TH AVE S APT 219, SARTELL, MN 56377-8916
(320) 533-0205
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
120044
MN
Other
Enumeration date
10/30/2012
Last updated
10/30/2012
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