Individual
LANI K LONGBELLA ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
49725 CTY RD #83, SUITE 100, STAPLES, MN 56479
(218) 894-8761
(218) 894-8762
Mailing address
421 2ND AVE NE, STAPLES, MN 56479-2539
(218) 894-2242
(218) 894-2013
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
113930
MN
Other
Enumeration date
04/28/2008
Last updated
03/25/2024
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