Most Relevant Information
Provider Data
| NPI Number: | 1003437369 |
| Provider Name: | SAMANTHA BRENTRUP PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 124146 |
Most Important Dates
| Enumeration Date: | 04/28/2020 |
| Last Updated: | 11/27/2023 |
Provider Practice Location
323 S MINNESOTA ST
CROOKSTON
MN
567161601
Practice Location Phone/Fax
| Phone: | 2182819420 |
| Fax: |
Provider Mailing Location
426 14TH ST S
MOORHEAD
MN
565602958
Provider Mailing Phone/Fax
| Phone: | 7012909717 |
| Fax: |