Individual
MR. MARK EVERETT TOOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14405 47TH AVE N, PLYMOUTH, MN 55446-3445
(763) 553-9219
Mailing address
14405 47TH AVE N, PLYMOUTH, MN 55446-3445
(763) 553-9219
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
114741
MN
Other
Enumeration date
11/07/2011
Last updated
11/07/2011
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