Individual
SUSAN LYNN ERTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH, CACP
Contact information
Practice address
5200 FAIRVIEW BLVD, INPATIENT PHARMACY, WYOMING, MN 55092-8013
(651) 982-7235
Mailing address
6 SUNSET LN, NORTH OAKS, MN 55127-6454
(651) 484-5377
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
113650-4
MN
Other
Enumeration date
12/28/2006
Last updated
07/08/2007
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