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MR. DARREN LEE GOLDEN RPH
>> Pharmacist >> Pharmacy Service ProvidersRegistrant NPI Number: 1366787590
Individual Registrant:MR. DARREN LEE GOLDEN RPH
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
30503 STATE HWY 371 PEQUOT LAKES, MN 56472-2913 US
Tel: 218-568-5884 Fax: --
Tel: 218-568-5884 Fax: --
Contact information for business:
25090 STUMVOLL LN NISSWA, MN 56468-2923 US
Tel: 218-821-1834 Fax: --
Tel: 218-821-1834 Fax: --
Registration Information:
NPI: 1366787590
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 183500000X | Pharmacy Service Providers Pharmacist | MN | 115846 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
