Individual
ITOHAN WARIBOKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
301 PARK DR, OWATONNA, MN 55060-5639
(507) 451-1771
Mailing address
301 PARK DR, OWATONNA, MN 55060-5639
(507) 451-1771
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
123213
MN
Other
Enumeration date
08/09/2015
Last updated
04/22/2020
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