Gullickson, Jenna Rae
Gullickson, Jenna Rae is an individual health care provider with primary practice located at 1200 6Th Ave N , Saint Cloud MN 56303-2735. She recently has only one registered license in Pharmacy Service Providers / Ambulatory Care, which is considered as her primary health care specialty. Gullickson, Jenna Rae can be contacted via phone (320) 252-5131.Contact Information
Primary practice address
1200 6Th Ave N
Saint Cloud MN 56303-2735
Phone: (320) 252-5131
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Ambulatory Care | 1835P2201X | 123786 | Minnesota |
Profile Details
| NPI number | 1912483363 |
|---|---|
| LBN Legal business name | Gullickson, Jenna Rae |
| Credentials | PHARM.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2018 |
| Last updated | Jul 18th, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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