Individual
SARAH KRUCKEBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1420 W OAKLAND AVE, AUSTIN, MN 55912-1652
(507) 396-0197
Mailing address
1420 W OAKLAND AVE, AUSTIN, MN 55912-1652
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
124834
MN
Other
Enumeration date
09/02/2020
Last updated
09/02/2020
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