Individual
DR. JENNIE WALBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8655 E POINT DOUGLAS RD S, T0662, COTTAGE GROVE, MN 55016-4035
(651) 458-8219
Mailing address
8655 E POINT DOUGLAS RD S, T0662, COTTAGE GROVE, MN 55016-4035
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
120001
MN
Other
Enumeration date
06/20/2011
Last updated
06/20/2011
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