Individual
COURTNEY IRENEE SANNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4050 DEAN LAKES BLVD, SHAKOPEE, MN 55379-2714
(952) 402-9039
Mailing address
1836 COUNTRYSIDE DR, SHAKOPEE, MN 55379-4554
(605) 310-1766
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
120921
MN
Other
Enumeration date
03/17/2020
Last updated
03/17/2020
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