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Individual

ALLISON BARKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
6055 NATHAN LN N # 200A, PLYMOUTH, MN 55442-1674
(763) 463-4400
(763) 463-4495
Mailing address
12225 82ND AVE N, MAPLE GROVE, MN 55369-4701
(309) 489-6353

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
123261
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
C103056359704
MINNESOTA DRIVERS LICENSE
MN
Enumeration date
01/31/2019
Last updated
01/31/2019
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