Individual
MS. WILMA ANN CERTAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
125 1ST AVE S, PERHAM, MN 56573-1701
(218) 346-4840
(218) 346-4844
Mailing address
125 1ST AVE S, PERHAM, MN 56573-1701
(218) 346-4840
(218) 346-4844
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
118482
MN
183500000X
Pharmacist
26015367A
IN
Other
Enumeration date
07/17/2013
Last updated
07/17/2013
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