Individual
JARED MAKSUDIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1100 2ND ST S, SARTELL, MN 56377-2152
(320) 654-8542
Mailing address
655 ROBERTS RD, SARTELL, MN 56377-4128
(816) 500-4514
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
126275
MN
Other
Enumeration date
10/17/2023
Last updated
10/17/2023
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