Individual
DOLLY PANCHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14075 HIGHWAY 13 S, SAVAGE, MN 55378-3100
(952) 447-1611
Mailing address
5253 HERITAGE HILLS DR, BLOOMINGTON, MN 55437-2872
(612) 234-7216
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
121653
MN
Other
Enumeration date
06/09/2020
Last updated
06/09/2020
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