Individual
JACOB JUSTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
499 SNELLING AVE N, SAINT PAUL, MN 55104-2330
(651) 917-2001
Mailing address
499 SNELLING AVE N, SAINT PAUL, MN 55104-2330
(651) 917-2001
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
124022
MN
Other
Enumeration date
03/05/2020
Last updated
03/05/2020
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