GRACE AWINO OTIENO

SHAKOPEE, MN
NPI1952873341
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: MN  123610)
Enumeration Date2018-12-22
Last Update Date2018-12-22
Business Address
Ms. GRACE AWINO OTIENO PharmD
3112 CRANE ST
SHAKOPEE, MN 55379-4499
Phone number: 505-922-5522
Mailing Address
Ms. GRACE AWINO OTIENO PharmD
3112 CRANE ST
SHAKOPEE, MN 55379-4499
Phone number: 505-922-5522