Individual provider · Type 1 NPI
Kristin Mary Theisen, RPH
Pharmacist · Monticello, MN
Practice location
12099 Blackwood Ave NW
Monticello, MN 55362-3300
Fax (320) 274-6546
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Primary | 183500000X | 116479 (MN) |
Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…
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About NPI 1376077792
Kristin Mary Theisen, RPH's National Provider Identifier is 1376077792, issued on Apr 12, 2017. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Monticello, MN. The record was last updated on Apr 12, 2017.