DR. Jennie Walby

NPI #1821383720 in Cottage Grove, Minnesota

Provider Information

NPI Number: 1821383720
Entity Type: Individual
Name: DR. Jennie Walby
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Jun 20, 2011
Last Updated: Jun 20, 2011

Practice Location

Address: 8655 E POINT DOUGLAS RD S
Address 2: T0662
City: Cottage Grove
State: Minnesota
ZIP Code: 55016-4035
Phone: (651) 458-8219

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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