Individual
AMANDA MANNING HULTGREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
700 AMERICAN BLVD E, BLOOMINGTON, MN 55420-1336
(952) 854-8850
Mailing address
4617 SPARROW RD, MINNETONKA, MN 55345-2444
(952) 412-2334
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
118143
MN
Other
Enumeration date
04/06/2021
Last updated
04/06/2021
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