Individual
NICHOLAS BOREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
20 W MAIN ST, CROSBY, MN 56441-1422
(218) 546-5144
(218) 546-7238
Mailing address
20 W MAIN ST, CROSBY, MN 56441-1422
(218) 546-5144
(218) 546-7238
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
124462
MN
Other
Enumeration date
09/04/2019
Last updated
09/04/2019
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