Individual
CHRISTINE BONNIE MAHOWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1406 6TH AVE N, SAINT CLOUD, MN 56303-1900
(320) 255-5670
(320) 255-5793
Mailing address
220 12TH AVE S, SARTELL, MN 56377-4624
(320) 203-8818
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
115671-7
MN
Other
Enumeration date
01/15/2007
Last updated
07/08/2007
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