LYNNE RITA ANSETH
Individual Provider (NPI-1)
Active
Pharmacist
Provider Information
- NPI Number
1528679164- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 700 30TH AVE S, MOORHEAD, MN, 565604926
- Phone
- (218) 331-2668
Specialties & Taxonomies
Pharmacist
Primary License: MN #117224