Philip Andrew Pederson in Mankato - Pharmacist
Philip Andrew Pederson - NPI 1376661892
Philip Andrew Pederson is a Pharmacist in Mankato, Minnesota. Philip Andrew Pederson practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Philip Andrew Pederson is 1376661892. The last update date is 2007-07-08.
Philip Andrew Pederson's current location address is 2010 Adams St, Mankato, Minnesota. You can contact this provider via phone number 5076257565 and fax number 5076252606. The mailing address for Philip Andrew Pederson is 2010 Adams St, Mankato, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Philip Andrew Pederson |
|---|---|
| Address | 2010 Adams St, Mankato, Minnesota |
| Phone Number | 5076257565 |
| Fax Number | 5076252606 |
| Sole Proprietor | N |
| Credentials | PHARMD |
NPI Number Detail
| NPI Number | 1376661892 |
|---|---|
| Provider Enumeration Date | 2007-03-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2010 Adams St |
|---|---|
| City | Mankato |
| State | Minnesota (MN) |
| Post Code | 560016817 |
| Phone Number | 5076257565 |
| Fax Number | 5076252606 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 118691 |
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Definition: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Philip Andrew Pederson by the Centers for Medicare & Medicaid Services?
The Philip Andrew Pederson has been assigned the NPI (National Provider Identifier) 1376661892 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Philip Andrew Pederson?
The Philip Andrew Pederson is situated at 2010 Adams St, in the city of Mankato, state of MN, with the zip code 560016817.
What is the area of specialization for Philip Andrew Pederson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Philip Andrew Pederson is Pharmacist, and the corresponding taxonomy code that categorizes this area of expertise is 183500000X.
On what date did the Philip Andrew Pederson receive its 1376661892 assignment from the Centers for Medicare & Medicaid Services?
The Philip Andrew Pederson was assigned its 1376661892 by the Centers for Medicare & Medicaid Services on 2007-03-26.
As of what date were the details related to Philip Andrew Pederson most recently updated or revised?
The information pertaining to Philip Andrew Pederson, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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