Provider Demographics
NPI:1134494503
Name:OSLUND, CATHERINE ANNETTE (RPH)
Entity type:Individual
Prefix:MISS
First Name:CATHERINE
Middle Name:ANNETTE
Last Name:OSLUND
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 1:10023 JUNIPER AVE N
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55443-1576
Mailing Address - Country:US
Mailing Address - Phone:763-425-7923
Mailing Address - Fax:763-425-7923
Practice Address - Street 1:10023 JUNIPER AVE N
Practice Address - Street 2:
Practice Address - City:BROOKLYN PARK
Practice Address - State:MN
Practice Address - Zip Code:55443-1576
Practice Address - Country:US
Practice Address - Phone:763-425-7923
Practice Address - Fax:763-425-7923
Is Sole Proprietor?:No
Enumeration Date:2012-03-18
Last Update Date:2012-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN113327183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist