-- JASON CARROLLO --
Individual Provider (NPI-1)
Active
Pharmacist
Provider Information
- NPI Number
1215204318- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 20715 GEMINI TRL, LAKEVILLE, MN, 55044
- Phone
- (952) 432-5557
- Fax
- (952) 891-3512
Specialties & Taxonomies
Pharmacist
Primary License: MN #117875