Individual
HEATHER TERESIAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3633 BUNKER LAKE BLVD NW, ANDOVER, MN 55304-7402
(763) 421-5011
Mailing address
19421 YELLOWPINE ST NW, OAK GROVE, MN 55011-8000
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
123629
MN
Other
Enumeration date
03/20/2020
Last updated
03/20/2020
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