Individual
JASMINE STEPHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1250 GOEMANN RD, FAIRMONT, MN 56031-4226
(507) 235-2517
(507) 235-2519
Mailing address
1250 GOEMANN RD, FAIRMONT, MN 56031-4226
(507) 235-2517
(507) 235-2519
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
121299
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
121299
PHARMACIST LICENSE
MN
Enumeration date
02/08/2014
Last updated
04/12/2021
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