Individual
CRISTINA INEZ MCLEAN GUIMARAES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2140 S POKEGAMA AVE, GRAND RAPIDS, MN 55744-2507
(218) 326-7020
Mailing address
42760 HOSPITAL DRIVE, RED LAKE INDIAN HEALTH SERVICE, REDLAKE, MN 56671
(218) 766-2771
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
124805
MN
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
124805
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
124805
MINNESOTA BOARD OF PHARMACY
MN
Enumeration date
10/19/2020
Last updated
06/11/2021
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