Individual
KELLI J DANIELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1200 SHINGLE CREEK XING, BROOKLYN CENTER, MN 55430-2835
(763) 354-1948
(763) 354-1942
Mailing address
3768 124TH LN NW, COON RAPIDS, MN 55433-1637
(920) 606-4783
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
121509
MN
Other
Enumeration date
10/16/2020
Last updated
10/16/2020
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