Provider Demographics
NPI:1801169560
Name:PREISLER, ANNIE (PHARMD)
Entity type:Individual
Prefix:MRS
First Name:ANNIE
Middle Name:
Last Name:PREISLER
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 1:5923 PRAIRIE ROSE DR
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:MN
Mailing Address - Zip Code:56303-1144
Mailing Address - Country:US
Mailing Address - Phone:320-224-6376
Mailing Address - Fax:
Practice Address - Street 1:5923 PRAIRIE ROSE DR
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:MN
Practice Address - Zip Code:56303-1144
Practice Address - Country:US
Practice Address - Phone:320-224-6376
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-10
Last Update Date:2012-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN117942183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist