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Individual

DR. MARK JACOB FROST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
2026 S POKEGAMA AVE, GRAND RAPIDS, MN 55744-4288
(218) 326-9431
(218) 326-9433
Mailing address
2026 S POKEGAMA AVE, GRAND RAPIDS, MN 55744-4288
(218) 326-9431
(218) 326-9433

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
121499
MN

Other

Enumeration date
01/27/2014
Last updated
01/27/2014
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