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MR. DARREN LEE GOLDEN RPH

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1366787590

Individual Registrant:
MR. DARREN LEE GOLDEN RPH
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: --

Contact information for business:
25090 STUMVOLL LN  NISSWA, MN 56468-2923 US
Tel: 218-821-1834  Fax: --

Registration Information:
NPI: 1366787590
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
MN115846

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS MN - Page 1



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