Individual
ALISSA K GRIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1027 WASHINGTON AVE, DETROIT LAKES, MN 56501
(218) 847-2347
Mailing address
1702 UNIVERSITY DR S, MEDICAL STAFF SERVICES-SSC, FARGO, ND 58103-4940
(701) 364-4222
(701) 364-8476
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
120704
MN
Other
Enumeration date
07/25/2012
Last updated
08/09/2019
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