Individual
BENJAMIN C BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM. D.
Contact information
Practice address
4802 HWY 101, MINNETONKA, MN 55345
(952) 401-3814
Mailing address
6825 FOLKESTONE RD, APPLE VALLEY, MN 55124-5625
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
120597
MN
Other
Enumeration date
12/01/2011
Last updated
12/01/2011
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