Individual
KENDRA WRITT SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1515 COUNTY ROAD B W # 2, T-2101, ROSEVILLE, MN 55113-6005
(651) 631-1450
Mailing address
1515 COUNTY ROAD B W # 2, T-2101, ROSEVILLE, MN 55113-6005
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
117099
MN
Other
Enumeration date
05/24/2013
Last updated
05/24/2013
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