Individual
MR. GEORGE W VEDDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2322 200TH AVE, MORA, MN 55051-0363
(320) 679-4013
Mailing address
2322 200TH AVE, PO BOX 363, MORA, MN 55051-0363
(320) 679-4013
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1109557
MN
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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