Individual
KELLY J MARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
200 12TH ST SW, FOREST LAKE, MN 55025-1482
(651) 464-9742
(651) 464-9725
Mailing address
200 12TH ST SW, FOREST LAKE, MN 55025-1482
(651) 464-9742
(651) 464-9725
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
117254
MN
Other
Enumeration date
09/13/2019
Last updated
09/13/2019
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