NPI 1003154998

Avni a Novotny, PHARMD

Practitioner Pharmacist Saint Paul, MN

Practice location

Address: 2199 Highway 36 E, Saint Paul, MN 55109-2215
Phone: (651) 779-6341
Fax: (651) 234-4734

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 119474 (MN)

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Registry record

NPI: 1003154998
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Jan 2013
Record last updated: 28 Jan 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.