Individual
TERESA LUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
503 31ST ST N, MOORHEAD, MN 56560-2580
(218) 790-6749
(218) 359-0773
Mailing address
503 31ST ST N, MOORHEAD, MN 56560-2580
(218) 790-6749
(218) 359-0773
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
14479
MN
183500000X
Pharmacist
Primary
4271
ND
Other
Enumeration date
07/20/2012
Last updated
07/20/2012
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