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Individual

MRS. ANITA LUNDQUIST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
1504 190TH AVE, BALSAM LAKE, WI 54810-7102
(715) 825-4498
(715) 825-4499
Mailing address
204 S ADAMS ST, SAINT CROIX FALLS, WI 54024-9449
(715) 483-0260
(715) 483-0516

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
119223
MN
183500000X
Pharmacist
Primary
14948-40
WI

Other

Enumeration date
03/02/2012
Last updated
03/02/2012
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