Vellenga, Raymond Keith

Vellenga, Raymond Keith is an individual health care provider with primary practice located at 7617 172Nd Ave Ne , Forest Lake MN 55025-8873. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Vellenga, Raymond Keith can be contacted via phone (651) 464-5274.

Contact Information

Primary practice address
7617 172Nd Ave Ne Forest Lake MN 55025-8873
Phone: (651) 464-5274
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 110257 Minnesota

Profile Details

NPI number 1356614119
LBN Legal business name Vellenga, Raymond Keith
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2012
Last updated Feb 9th, 2012 - about 14 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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