NPI 1144507260

Jitka Sirucek, RPH

Practitioner Pharmacist Coon Rapids, MN

Practice location

Address: 2860 Coon Rapids Blvd NW, Coon Rapids, MN 55433-3427
Phone: (763) 421-1784

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 118530 (MN)

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Registry record

NPI: 1144507260
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Nov 2011
Record last updated: 3 Nov 2011

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.