NPI 1043361249

Deborah Leedahl, PHARMD

Practitioner Pharmacist Saint Cloud, MN

Practice location

Address: 1900 Centracare Cir, Saint Cloud, MN 56303-5000
Phone: (320) 229-4904
Mailing address: 1704 Red Fox Rd, Saint Cloud, MN 56301-7900

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 118090-3 (MN)

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Registry record

NPI: 1043361249
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Jan 2007
Record last updated: 8 Jul 2007

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.