Jan E. Pederson in Bemidji - Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist
Jan E. Pederson - NPI 1295851228
Jan E. Pederson is a Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist in Bemidji, Minnesota. Jan E. Pederson practices all healthcare services and medical treatments related to Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist. The NPI Number for Jan E. Pederson is 1295851228. The last update date is 2020-05-08.
Jan E. Pederson's current location address is 21096 Gold Coast Rd Nw, Bemidji, Minnesota. You can contact this provider via phone number 2186865562 and fax number 2186812330. The mailing address for Jan E. Pederson is 21096 Gold Coast Rd Nw, Bemidji, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jan E. Pederson |
|---|---|
| Address | 21096 Gold Coast Rd Nw, Bemidji, Minnesota |
| Phone Number | 2186865562 |
| Fax Number | 2186812330 |
| Sole Proprietor | Y |
| Credentials | PHARM.D. |
NPI Number Detail
| NPI Number | 1295851228 |
|---|---|
| Provider Enumeration Date | 2007-03-21 |
| Last Updated Date | 2020-05-08 |
Provider Mailing Address Detail
| Address | 21096 Gold Coast Rd Nw |
|---|---|
| City | Bemidji |
| State | Minnesota (MN) |
| Post Code | 566019180 |
| Phone Number | 2186865562 |
| Fax Number | 2186812330 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist |
|---|---|
| Taxonomy | 1835P0018X |
| Licence No | 116988 |
|
Definition: Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 743688200 | MN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jan E. Pederson by the Centers for Medicare & Medicaid Services?
The Jan E. Pederson has been assigned the NPI (National Provider Identifier) 1295851228 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Jan E. Pederson is physically located?
The Jan E. Pederson is physically situated at the following address: 21096 Gold Coast Rd Nw, Bemidji, MN, 566019180.
What is the area of specialization for Jan E. Pederson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jan E. Pederson is Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist, and the corresponding taxonomy code that categorizes this area of expertise is 1835P0018X.
On what date did the Centers for Medicare & Medicaid Services assign the 1295851228 to Jan E. Pederson?
The Centers for Medicare & Medicaid Services assigned the 1295851228 to Jan E. Pederson on 2007-03-21.
As of what date were the details pertaining to Jan E. Pederson last refreshed?
The information related to the Jan E. Pederson, including its address, specialty, and other relevant details, was last updated on 2020-05-08.