Individual
SUSAN JEAN ELENKIWICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5230 INTERLACHEN BLVD, EDINA, MN 55436-1427
(952) 920-8527
Mailing address
3945 W 50TH ST, EDINA, MN 55424-1203
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
113968
MN
Other
Enumeration date
06/28/2008
Last updated
06/28/2008
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