Individual
TRACEY BOVKOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 CONEY ST W, PERHAM, MN 56573-2102
(218) 347-1570
Mailing address
1000 CONEY ST W, PERHAM, MN 56573-2102
(218) 347-1570
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
122196
MN
183500000X
Pharmacist
RPH5696
ND
Other
Enumeration date
08/18/2014
Last updated
07/03/2021
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