Individual
LORELLE MOLLIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4547 HIAWATHA AVE, C/O WALGREENS, MINNEAPOLIS, MN 55406-3926
(612) 722-4249
(612) 722-5713
Mailing address
3345 SAINT LOUIS AVE, MINNEAPOLIS, MN 55416-4394
(612) 722-4249
(612) 722-5713
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
119453
MN
Other
Enumeration date
10/23/2011
Last updated
10/23/2011
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