Individual
MARY FOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
550 OSBORNE RD NE, FRIDLEY, MN 55432-2718
(763) 236-4135
Mailing address
2790 RIVIERA DR N, WHITE BEAR LAKE, MN 55110-1866
(763) 236-4135
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
115435
MN
Other
Enumeration date
07/09/2008
Last updated
07/09/2008
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