Provider Demographics
NPI:1023189594
Name:MAJEWSKI, VICKI L (RPH)
Entity Type:Individual
Prefix:
First Name:VICKI
Middle Name:L
Last Name:MAJEWSKI
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19539 COUNTY ROAD 560
Mailing Address - Street 2:P.O.BOX 30
Mailing Address - City:GOODLAND
Mailing Address - State:MN
Mailing Address - Zip Code:55742
Mailing Address - Country:US
Mailing Address - Phone:218-492-4585
Mailing Address - Fax:
Practice Address - Street 1:202 2ND ST
Practice Address - Street 2:
Practice Address - City:NASHWAUK
Practice Address - State:MN
Practice Address - Zip Code:55769-1112
Practice Address - Country:US
Practice Address - Phone:218-882-2613
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN111715-4183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist