Individual
MICHELLE M RUNDQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
8441 WAYZATA BLVD STE 340, GOLDEN VALLEY, MN 55426-1372
(652) 542-5519
Mailing address
8441 WAYZATA BLVD STE 340, GOLDEN VALLEY, MN 55426-1372
(652) 542-5519
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
123765
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
123765
MN PHARMACIST LICENSE NUMBER
MN
Enumeration date
05/20/2019
Last updated
05/20/2019
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