TIM D ELLISON

ALEXANDRIA, MN
NPI1518252790
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: MN  113647)
Enumeration Date2011-06-15
Last Update Date2011-06-15
Business Address
-- TIM D ELLISON
4404 HWY 29 S T0821
ALEXANDRIA, MN 56308-2915
Phone number: 320-763-7393
Mailing Address
-- TIM D ELLISON
4404 HWY 29 S T0821
ALEXANDRIA, MN 56308-2915
Phone number: 320-763-7393
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