Individual
MRS. LISA ANN BRANDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
304 POKEGAMA AVE . N., GRAND RAPIDS, MN 55744
(218) 326-2635
(218) 326-2526
Mailing address
PO BOX 966, 124 EAGLE POINT RD, COLERAINE, MN 55722-0966
(218) 245-2241
(218) 326-2526
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
115207-0
MN
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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