Individual
KYLE ROSS IHRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
10686 UNIVERSITY AVE NW, COON RAPIDS, MN 55448-6141
(763) 755-1259
Mailing address
10686 UNIVERSITY AVE NW, COON RAPIDS, MN 55448-6141
(763) 755-1259
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
118546
MN
Other
Enumeration date
10/31/2011
Last updated
10/31/2011
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