Individual
KELLY KRISTINE WIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
115611-5
MN
Other
Enumeration date
03/20/2006
Last updated
01/11/2021
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