KIM MAXA

MINNEAPOLIS, MN
NPI1447650700
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: MN  122012)
Additional Taxonomies183500000X Pharmacist
(Licence: GA  RPH026631)
183500000X Pharmacist
(Licence: UT  8693621-1701)
Enumeration Date2014-08-23
Last Update Date2014-08-23
Business Address
-- KIM MAXA
2525 CHICAGO AVE
MINNEAPOLIS, MN 55404-4518
Phone number: 615-813-7259
Mailing Address
-- KIM MAXA
2525 CHICAGO AVE
MINNEAPOLIS, MN 55404-4518
Phone number: