Patricia Grendahl Valid NPI

Individual provider · Pharmacist · Brainerd, MN

NPI

1386621563

Type

Individual (Type 1)

Primary specialty

Pharmacist

Specialty group

Pharmacy Service Providers

Taxonomy code

183500000X

License number

111957-6 (MN)

Sex

Female

Sole proprietor

No

Enumerated

2005-12-28

Last updated

2007-07-25