Individual
CAROL JEAN BARDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7900 MARKET BLVD, CHANHASSEN, MN 55317-4565
(952) 934-2865
Mailing address
10301 HEIDI LN, CHASKA, MN 55318-9516
(952) 412-7876
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1112561
MN
Other
Enumeration date
12/19/2020
Last updated
12/19/2020
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