NPI 1174001648

Jodie Trites, PHARMACIST

Practitioner Pharmacist Perham, MN

Practice location

Address: 1000 Coney St W, Perham, MN 56573-2102
Phone: (218) 347-1570
Fax: (218) 347-1574

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 117535 (MN)

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Registry record

NPI: 1174001648
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Aug 2018
Record last updated: 6 Aug 2018

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.