Individual
SANDRA HASELBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2013 W BROADWAY AVE, FOREST LAKE, MN 55025-4500
(651) 982-4603
(651) 982-4626
Mailing address
2013 W BROADWAY AVE, FOREST LAKE, MN 55025-4500
(651) 982-4603
(651) 982-4626
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
116147
MN
Other
Enumeration date
12/05/2020
Last updated
12/05/2020
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