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NPI Code Detail

MEDICARE: ANNA KOKRDA

MEDICARE:   ANNA  KOKRDA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist123767MN

General Provider Information

NPI Number : 1174128383
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNA KOKRDA
Provider Business Mailing Address
First Line : 5937 NICOLLET AVE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55419-2421
Country : US
Telephone Number : 612-866-9921
Fax Number :
Provider Business Practice Location Address
First Line : 5937 NICOLLET AVE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55419-2421
Country : US
Telephone Number : 612-866-9921
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/03/2020
Last Update Date : 12/03/2020

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Directions to “ ANNA KOKRDA ” Practice Location

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