Kennedy, Lara Rae

Kennedy, Lara Rae is an individual health care provider with primary practice located at 1664 Bedford Ln , Shakopee MN 55379-4449. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Kennedy, Lara Rae can be contacted via phone (952) 913-6166.

Contact Information

Primary practice address
1664 Bedford Ln Shakopee MN 55379-4449
Phone: (952) 913-6166
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 5343 South Dakota
Pharmacy Service Providers / Pharmacist 183500000X 118001 Minnesota

Profile Details

NPI number 1841580867
LBN Legal business name Kennedy, Lara Rae
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2011
Last updated Oct 30th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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