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1154505345
COREY WAYNE BURNSIDE
MOORHEAD, MN
NPI
1154505345
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: MN 116646)
Enumeration Date
2007-12-24
Last Update Date
2007-12-24
Business Address
COREY WAYNE BURNSIDE
3300 HWY 10 E CASHWISE PHARMACY #15
MOORHEAD, MN 56560-0000
Phone number: 218-236-0345
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Mailing Address
COREY WAYNE BURNSIDE
3300 HWY 10 E CASHWISE PHARMACY #15
MOORHEAD, MN 56560-0000
Phone number: 218-236-0345
Copy
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