Individual
DR. TARA MARIE PARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
901 9TH ST N, T0847, VIRGINIA, MN 55792-2325
(218) 780-7969
Mailing address
901 9TH ST N, VIRGINIA, MN 55792-2325
(218) 780-7969
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
117602
MN
Other
Enumeration date
06/06/2011
Last updated
04/25/2013
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