Individual
DR. BRIANNE KAY PEROUTKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
200 STATE AVE, FARIBAULT, MN 55021-6339
(507) 332-4791
(507) 332-4792
Mailing address
200 STATE AVE, FARIBAULT, MN 55021-6339
(507) 332-4791
(507) 332-4792
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
118329
MN
Other
Enumeration date
05/20/2009
Last updated
05/20/2009
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