LARA RAE KENNEDY

SHAKOPEE, MN
NPI1841580867
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: MN  118001)
Additional Taxonomies183500000X Pharmacist
(Licence: SD  5343)
Enumeration Date2011-04-11
Last Update Date2017-10-30
Business Address
LARA RAE KENNEDY PharmD
1664 BEDFORD LN
SHAKOPEE, MN 55379-4449
Phone number: 952-913-6166
Mailing Address
LARA RAE KENNEDY PharmD
22549 W 72ND TER
SHAWNEE, KS 66227-2624
Phone number: 952-913-6166