Individual
ANGELA ANN BUSHLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
36 S BROADWAY, WELLS, MN 56097-1633
(507) 553-3161
(507) 553-3914
Mailing address
36 S BROADWAY, WELLS, MN 56097-1633
(507) 553-3161
(507) 553-3914
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
115752
MN
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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