Lisa Marie Wennerlund, R.Ph.
Pharmacist in Minneapolis, MN. Individual provider (NPI-1).
NPI number1881908184
StatusActive
Last updated in NPPESJul 29, 2010
Details
- NPI
- 1881908184
- Entity type
- Individual (NPI-1)
- Name
- Lisa Marie Wennerlund
- Credential
- R.Ph.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 29, 2010
- Last updated
- Jul 29, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 114881 | MN | Yes |
Practice location
5415 Lyndale Ave SMinneapolis, MN 55419-1717
Phone 612-824-1121 · Fax 612-824-5577
Mailing address
5415 Lyndale Ave SMinneapolis, MN 55419-1717
Phone 612-824-1121 · Fax 612-824-5577
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