Individual
LISA PETRIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 MAIN AVE N, PARK RAPIDS, MN 56470-1511
(218) 732-3342
(218) 732-5053
Mailing address
101 MAIN AVE N, PARK RAPIDS, MN 56470-1511
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
121273
MN
Other
Enumeration date
08/20/2013
Last updated
08/20/2013
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