Individual
KIMBERLY JANICE AULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
15300 GROVE CIR N, MAPLE GROVE, MN 55369-4469
(763) 447-2507
(763) 447-2517
Mailing address
15300 GROVE CIR N, MAPLE GROVE, MN 55369-4469
(763) 447-2507
(763) 447-2517
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
118615
MN
Other
Enumeration date
06/24/2011
Last updated
06/24/2011
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