Individual
EDNA EVANGELINE SOBANIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
4426 CEDAR SCENIC RD, BAXTER, MN 56425-3003
(218) 838-0965
Mailing address
4426 CEDAR SCENIC RD, BAXTER, MN 56425-3003
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
115559
MN
Other
Enumeration date
02/01/2022
Last updated
02/01/2022
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