Healthcare Provider Details

I. General information

NPI: 1942295050
Provider Name (Legal Business Name): KARA SERENE BOYKO FRANDSON PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 09/14/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 COMO AVE
SAINT PAUL MN
55108-1460
US

IV. Provider business mailing address

2800 CEDAR LN
BURNSVILLE MN
55337-2106
US

V. Phone/Fax

Practice location:
  • Phone: 651-641-6200
  • Fax:
Mailing address:
  • Phone: 612-220-9520
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number118276-5
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: