Provider / Organization | NPI | Date Certified |
---|---|---|
LARS ANDERSON | 1407583610 | 2022-08-07 |
Lars Anderson is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1407583610. Registration indicates Lars Anderson is a provider of services with a specialization in Pharmacy Service Providers, Pharmacist (Pharmacist, ) (Pharmacist, Pharmacy Service Providers)
Entity Type | Individual |
Provider Name | Lars Anderson |
Practice Office Address | 900 CENTRAL AVE E SAINT MICHAEL, MN US |
Practice Office Telephone | 7634977069 |
Practice Office Fax | 7634973605 |
Mailing Address | 900 CENTRAL AVE E SAINT MICHAEL, MN 553764594 US |
Business Telephone | 7634977069 |
Business Fax | 7634973605 |
Code | Practice | License No State |
---|---|---|
183500000X PRIMARY | Pharmacy Service Providers Pharmacist Pharmacist Pharmacist Pharmacy Service Providers | 125680
MN |