Marvin Leroy Dyrstad, RPH

NPI #1215937099 in Red Wing, Minnesota

Provider Information

NPI Number: 1215937099
Entity Type: Individual
Name: Marvin Leroy Dyrstad, RPH
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Jul 22, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 910 W 6TH ST
City: Red Wing
State: Minnesota
ZIP Code: 55066-2432
Phone: (651) 388-6883

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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