Individual
RAPHAEL VAYNTRAUB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2080 FORD PKWY, SAINT PAUL, MN 55116-1813
(651) 605-3634
(651) 605-3644
Mailing address
2080 FORD PKWY, SAINT PAUL, MN 55116-1813
(651) 605-3634
(651) 605-3644
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
124583
MN
Other
Enumeration date
03/06/2020
Last updated
03/06/2020
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