RAYMOND KEITH VELLENGA

FOREST LAKE, MN
NPI1356614119
Other NameRAY K VELLENGA
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: MN  110257)
Enumeration Date2012-02-09
Last Update Date2012-02-09
Business Address
Mr. RAYMOND KEITH VELLENGA RPH
7617 172ND AVE NE
FOREST LAKE, MN 55025-8873
Phone number: 651-464-5274
Mailing Address
Mr. RAYMOND KEITH VELLENGA RPH
7617 172ND AVE NE
FOREST LAKE, MN 55025-8873
Phone number: 651-464-5274
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