Individual
MS. JANA LEE HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
5696 UNIVERSITY AVE NE, FRIDLEY, MN 55432-5579
(763) 571-2081
Mailing address
14895 47TH AVE N, PLYMOUTH, MN 55446-3404
(763) 486-9348
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
114006
MN
Other
Enumeration date
03/26/2021
Last updated
03/26/2021
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