Jason Carrollo

NPI #1215204318 in Lakeville, Minnesota

Provider Information

NPI Number
1215204318
Entity Type
Individual
Name
Jason Carrollo
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Enumeration Date
Nov 18, 2011
Last Updated
Nov 18, 2011

Practice Location

Address
20715 GEMINI TRL
ZIP Code
55044
Phone
(952) 432-5557

Specialties & Taxonomy Codes

Specialty
Pharmacist

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