Individual provider · Type 1 NPI

Kelly Marie Dethloff, PHARMD.

Pharmacist · Virginia, MN

NPI number 1982942025 Active

Practice location

901 9th St N
Virginia, MN 55792-2325

Call (218) 749-9441 Map

Fax (218) 749-9565

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X118343 (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 1982942025

Kelly Marie Dethloff, PHARMD.'s National Provider Identifier is 1982942025, issued on Jan 24, 2013. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Virginia, MN. The record was last updated on Jan 24, 2013.