Individual
ANHONY LYLE GILLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
1 VETERANS DR, MINNEAPOLIS, MN 55417-2309
(612) 725-2000
Mailing address
24160 REDWING AVE, NEW PRAGUE, MN 56071-6803
(952) 758-9328
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
115962-0
MN
Other
Enumeration date
09/28/2006
Last updated
07/08/2007
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