SALLY BITTAR
Individual Provider (NPI-1)
Active
Pharmacist
Provider Information
- NPI Number
1023612140- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 18275 KENRICK AVE, LAKEVILLE, MN, 550447306
- Phone
- (952) 892-5454
Specialties & Taxonomies
Pharmacist
Primary License: MN #124088