Individual
DALE KEITH EADS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
RPH.
Contact information
Practice address
1948 DORATHEA BLVD, WORTHINGTON, MN 56187-1404
(507) 372-4670
Mailing address
1948 DORATHEA BLVD, WORTHINGTON, MN 56187-1404
(507) 372-4670
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
112504-9
MN
Other
Enumeration date
11/08/2005
Last updated
07/08/2007
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