Individual
SAMANTHA SHOOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
911 NORTHLAND DR, PRINCETON, MN 55371-2172
(763) 389-1313
Mailing address
30944 101ST ST, PRINCETON, MN 55371-4737
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
118017
MN
Other
Enumeration date
12/12/2007
Last updated
12/12/2007
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