Theodore Glen Ranheim, RPH

NPI #1215204094 in Bloomington, Minnesota

Provider Information

NPI Number: 1215204094
Entity Type: Individual
Name: Theodore Glen Ranheim, RPH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Nov 22, 2011
Last Updated: Nov 22, 2011

Practice Location

Address: 7131 OAK POINTE CURV
City: Bloomington
State: Minnesota
ZIP Code: 55438-3403
Phone: (952) 941-3568

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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