Individual
SHELLY LYNN LETTMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3301 7TH AVE, ANOKA, MN 55303-4516
(651) 431-5122
Mailing address
3301 7TH AVE, ANOKA, MN 55303-4516
Taxonomy
Speciality
Code
Description
License number
State
1835P1300X
Psychiatric Pharmacist
Primary
121842
MN
Other
Enumeration date
05/30/2017
Last updated
05/30/2017
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