Individual
GINA AYN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 CROSSROADS DR SW, ROCHESTER, MN 55902-2183
(507) 280-9441
Mailing address
1503 15TH STREET CIR NE, KASSON, MN 55944-1738
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
117002
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
117002
PHARMACIST
MN
Enumeration date
10/27/2020
Last updated
10/27/2020
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