Individual
NICOLE A EBNET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1101 2ND AVE NE, LITTLE FALLS, MN 56345-2943
(320) 632-2380
Mailing address
1101 2ND AVE NE, LITTLE FALLS, MN 56345-2943
(320) 632-2380
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
120000
MN
Other
Enumeration date
10/19/2011
Last updated
02/17/2015
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