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Individual

MR. GARY WAYNE PUNDT

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
R.PH.

Contact information

Practice address
202 N BROADWAY, ROCHESTER, MN 55906-3646
(507) 288-6463
(507) 288-2192
Mailing address
202 N BROADWAY, ROCHESTER, MN 55906-3646
(507) 288-6463
(507) 288-2192

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
115189-3
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
115189-3
MN BOARD OF PHARMACY LIC.
MN
Enumeration date
10/21/2005
Last updated
07/08/2007
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