Individual
ANN STAROSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM. D.
Contact information
Practice address
4175 VINEWOOD LN N, PLYMOUTH, MN 55442-2624
(763) 553-1757
Mailing address
4175 VINEWOOD LN N, PLYMOUTH, MN 55442-2624
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
121094
MN
Other
Enumeration date
09/12/2012
Last updated
09/12/2012
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