James Polucha, PHARM.D

NPI #1639478845 in White Bear Lake, Minnesota

Provider Information

NPI Number: 1639478845
Entity Type: Individual
Name: James Polucha, PHARM.D
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: PHARM.D
Enumeration Date: Mar 28, 2011
Last Updated: Mar 31, 2011

Practice Location

Address: 2187 FOURTH STREET
City: White Bear Lake
State: Minnesota
ZIP Code: 55110
Phone: (651) 429-5356

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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