Individual
KATHERINE DIANNE BRASTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
5370 W 16TH ST, SAINT LOUIS PARK, MN 55416-1734
(952) 544-0542
(952) 544-0629
Mailing address
5370 W 16TH ST, SAINT LOUIS PARK, MN 55416-1734
(952) 544-0542
(952) 544-0629
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
125771
MN
Other
Enumeration date
10/20/2025
Last updated
10/20/2025
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