Individual
TRUDY M MATTHYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
7560 160TH STREET WEST, LAKEVILLE, MN 55044
(952) 891-1167
(952) 891-3337
Mailing address
7560 160TH STREET WEST, LAKEVILLE, MN 55044
(952) 891-1167
(952) 891-3337
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
115401-1
MN
Other
Enumeration date
09/15/2011
Last updated
09/15/2011
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