Individual
SUSAN ELIZABETH PEROUTKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
19605 PILOT KNOB RD, FARMINGTON, MN 55024-7238
(651) 463-3693
Mailing address
19605 PILOT KNOB RD, FARMINGTON, MN 55024-7238
(651) 463-3693
(651) 463-2434
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
115794
MN
Other
Enumeration date
03/09/2020
Last updated
03/09/2020
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