Joan L Ice, R PH

NPI #1407058332 in Onamia, Minnesota

Provider Information

NPI Number: 1407058332
Entity Type: Individual
Name: Joan L Ice, R PH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: R PH
Enumeration Date: Jun 4, 2007
Last Updated: Aug 1, 2014

Practice Location

Address: 43500 MIGIZI DR
City: Onamia
State: Minnesota
ZIP Code: 56359-2241
Phone: (320) 532-4770

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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