Individual
MONICA PREMSUKH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
345 SMITH AVE N, SAINT PAUL, MN 55102-2346
(651) 220-6000
Mailing address
101 71ST WAY NE, FRIDLEY, MN 55432-3069
(763) 744-8112
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
122883
MN
Other
Enumeration date
08/24/2016
Last updated
08/24/2016
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