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Individual

MR. JOHN LOMNICKI SR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
R.PH.

Contact information

Practice address
5815 NORELL AVE N, OAK PARK HEIGHTS, MN 55082
(651) 439-7630
Mailing address
2190 SAINT CROIX STREET, ROSEVILLE, MN 55113
(651) 493-0865

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
115114
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
115114
MN RPH
MN
Enumeration date
01/23/2013
Last updated
01/23/2013
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