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1881172872
LAUREL PRAIRIE
ROSEVILLE, MN
NPI
1881172872
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: MN 113799)
Enumeration Date
2018-08-01
Last Update Date
2018-08-01
Business Address
LAUREL PRAIRIE RPh
1960 TWIN LAKES PKWY
ROSEVILLE, MN 55113-1324
Phone number: 612-788-1478
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Mailing Address
LAUREL PRAIRIE RPh
11206 QUEBEC LN N
CHAMPLIN, MN 55316-3226
Phone number: 612-210-7392
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