Dana Pauline Tonjum
Individual provider Active NPI Pharmacist · Apple Valley, MN
NPI 1093149262 · NPPES record last updated Aug 24, 2013
Key facts
- NPI
- 1093149262
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 121262 (MN)
- Practice address
- 15560 Pilot Knob Rd
Apple Valley, MN 55124-7286 - Phone
- (952) 236-3166
- NPI assigned
- Aug 24, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 121262 | MN | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 121262 | MN | Yes |
Addresses
Primary practice location
15560 Pilot Knob Rd
Apple Valley, MN 55124-7286
Mailing address
608 9TH St
Farmington, MN 55024-1728
Phone (952) 237-5780
Other providers in Apple Valley, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 24, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.