Individual
SHANE HAVRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
401 5TH ST W, NORTHFIELD, MN 55057-1700
(507) 645-9658
Mailing address
401 5TH ST W, NORTHFIELD, MN 55057-1700
(507) 645-9658
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
117242
MN
Other
Enumeration date
09/20/2011
Last updated
09/20/2011
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