Individual
GWENDOLYN F SVENVOLD
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
1151 WAYZATA BLVD E, WAYZATA, MN 55391-1935
(952) 473-1687
(952) 473-0782
Mailing address
1151 WAYZATA BLVD E, WAYZATA, MN 55391-1935
(952) 473-1687
(952) 473-0782
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
116590-2
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2426167
NCPDP NO.
MN
01
—
6758226
STATE TAX ID NO.
MN
Enumeration date
05/23/2006
Last updated
07/09/2007
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