Individual
AMY WITKOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9800 LYNDALE AVE S, BLOOMINGTON, MN 55420-4731
(952) 884-8147
Mailing address
700 WASHINGTON AVE N UNIT 402, MINNEAPOLIS, MN 55401-4195
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
116073
MN
Other
Enumeration date
12/22/2011
Last updated
12/22/2011
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