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Individual

MRS. AMY LOUISE CORY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
113 LAKE AVE N, BATTLE LAKE, MN 56515-0538
(218) 864-5261
(218) 864-8178
Mailing address
21386 KLAR JO RD, CLITHERALL, MN 56524-9500

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
116119-7
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
116119-7
PHARMACY LICENSE
MN
Enumeration date
10/24/2006
Last updated
09/12/2007
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