Amber Axtell

NPI #1578036224 in Mora, Minnesota

Provider Information

NPI Number: 1578036224
Entity Type: Individual
Name: Amber Axtell
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Jan 5, 2019
Last Updated: Nov 11, 2020

Practice Location

Address: 301 HIGHWAY 65 S
City: Mora
State: Minnesota
ZIP Code: 55051-1899
Phone: (320) 209-1542

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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