Individual
MARIA NICOLE HENRIKSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1307 18TH AVE NW, AUSTIN, MN 55912-1996
(507) 437-9185
(507) 433-7067
Mailing address
1310 21ST AVE NW UNIT 414, AUSTIN, MN 55912-3661
(612) 412-3197
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
122678
MN
Other
Enumeration date
11/13/2020
Last updated
11/13/2020
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