Lynn Marie Derosier

NPI #1457950735 in Baxter, Minnesota

Provider Information

NPI Number: 1457950735
Entity Type: Individual
Name: Lynn Marie Derosier
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Oct 19, 2020
Last Updated: Oct 19, 2020

Practice Location

Address: 7295 GLORY RD
City: Baxter
State: Minnesota
ZIP Code: 56425-7308
Phone: (218) 829-5510

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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