Patrick Kenzie RPH

NPI 1073833885 - Pharmacist - 183500000X

NPI Details
NPI 1073833885
Gender Male
Enumeration Date 06/03/2010
Last Updated 06/03/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
3201 WHITE BEAR AVE N
WHITE BEAR LAKE MN, 55110-5402, US
Phone (651) 770-0311
Fax
Business Location
3201 WHITE BEAR AVE N
WHITE BEAR LAKE MN, 55110, US
Phone (651) 770-0311
Fax
Toxanomy
Taxonomy Code 183500000X
License State Minnesota
License Number 113927
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According to our database, Mr. Patrick Kenzie RPH NPI is 1073833885, taxonomy code is 183500000X and license number is 113927, license state is located at Minnesota. Patrick Kenzie RPH physically located at 3201 White Bear Ave N, White Bear Lake MN, 55110-5402. NPI Number Patrick Kenzie RPH has the Individual type.

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1073833885 NPI number is provided on an as is basis without warranty of any kind. 1073833885 is maintained by the National Plan & Provider Enumeration System. The contents of Patrick Kenzie RPH are for informational purposes only.