Individual
BRETA EBELING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD, RN
Contact information
Practice address
1360 TOWN CENTRE DR, EAGAN, MN 55123-2310
(651) 686-7431
(651) 686-7433
Mailing address
1360 TOWN CENTRE DR, EAGAN, MN 55123-2310
(651) 686-7431
(651) 686-7433
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
119025
MN
Other
Enumeration date
10/20/2020
Last updated
10/20/2020
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