Individual
MARK MICHAEL COTA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
401 W 3RD ST, RED WING, MN 55066-2310
(651) 388-3521
(651) 388-8059
Mailing address
2346 PINEVIEW CT, RED WING, MN 55066-4041
(651) 388-5714
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
115215-1
MN
Other
Enumeration date
07/28/2005
Last updated
07/08/2007
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