Individual
MRS. JULIE A ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
11401 MARKETPLACE DR N, CHAMPLIN, MN 55316-3794
(763) 427-6389
Mailing address
10396 BOUNDARY CREEK TER, MAPLE GROVE, MN 55369-2841
(763) 493-3577
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
114556
MN
Other
Enumeration date
10/20/2011
Last updated
10/25/2011
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