Provider Demographics
NPI:1891387171
Name:SELLIN, KAREN MARIE (PHARMD)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:MARIE
Last Name:SELLIN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4740 MALL DR
Mailing Address - Street 2:
Mailing Address - City:HERMANTOWN
Mailing Address - State:MN
Mailing Address - Zip Code:55811-3939
Mailing Address - Country:US
Mailing Address - Phone:218-727-4625
Mailing Address - Fax:218-727-1746
Practice Address - Street 1:4740 MALL DR
Practice Address - Street 2:
Practice Address - City:HERMANTOWN
Practice Address - State:MN
Practice Address - Zip Code:55811-3939
Practice Address - Country:US
Practice Address - Phone:218-727-4625
Practice Address - Fax:218-727-1746
Is Sole Proprietor?:No
Enumeration Date:2021-02-08
Last Update Date:2021-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN121516183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist