Individual
DANELLE CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
711 KASOTA AVE SE, MINNEAPOLIS, MN 55414-2842
(612) 672-5260
Mailing address
14686 DOMINICA CT, APPLE VALLEY, MN 55124-4203
(651) 283-3136
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
117256
MN
Other
Enumeration date
02/10/2022
Last updated
02/10/2022
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