Individual
KATHY JO OPDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM. D
Contact information
Practice address
300 S BRUCE ST, MARSHALL, MN 56258-1934
(507) 532-9661
Mailing address
200 S JEFFERSON ST, MINNEOTA, MN 56264-9651
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
120558
MN
Other
Enumeration date
11/18/2015
Last updated
11/18/2015
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