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Jennifer Joan Bodmer, PharmD

Pharmacist in Eden Prairie, MN. Individual provider (NPI-1).

NPI number1629348149
StatusActive
Last updated in NPPESDec 3, 2020

Details

NPI
1629348149
Entity type
Individual (NPI-1)
Name
Jennifer Joan Bodmer
Credential
PharmD
Sex
Female
Sole proprietor
No
Enumeration date
Jan 2, 2012
Certification date
Dec 3, 2020
Last updated
Dec 3, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist5144NDYes
183500000X Pharmacist056664NY
183500000X Pharmacist118942MN

Practice location

11334 Stratton Ave
Eden Prairie, MN 55344-4420

Phone 701-217-0156

Mailing address

11334 Stratton Ave
Eden Prairie, MN 55344-4420

Phone 701-217-0156

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