Individual provider · Type 1 NPI

Mariette Sourial, PharmD

Pharmacist · Mora, MN

NPI number 1477853463 Active

Practice location

301 Highway 65 S
Mora, MN 55051-1899

Call (320) 225-3597 Map

Mailing address

109 Maple Ave E Apt 2
Mora, MN 55051-1309

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X120221 (MN)
Pharmacotherapy Pharmacist 1835P1200X120221 (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 1477853463

Mariette Sourial, PharmD's National Provider Identifier is 1477853463, issued on Oct 25, 2010. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Mora, MN. The record was last updated on Oct 25, 2010.