Individual
KELLY L RUBY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
1313 PENN AVE N, MINNEAPOLIS, MN 55411-3047
(612) 302-4702
Mailing address
2044 IDAHO AVE S, ST LOUIS PARK, MN 55426-2117
(612) 964-9445
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
117821-6
MN
Other
Enumeration date
05/04/2006
Last updated
07/08/2007
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