Individual provider · Type 1 NPI

Michelle Gerise-Koopmeiners Ettel, R.PH.

Pharmacist · St. Cloud, MN

NPI number 1730195306 Active

Practice location

4801 Veterans Dr
St. Cloud, MN 56303-2015

Call (320) 255-6465 Map

Fax (320) 255-6360

Mailing address

213 Mustang Ln
Melrose, MN 56352-1388

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X115240-7 (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 1730195306

Michelle Gerise-Koopmeiners Ettel, R.PH.'s National Provider Identifier is 1730195306, issued on Aug 1, 2006. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in St. Cloud, MN. The record was last updated on Jul 8, 2007.