Individual provider · Type 1 NPI

Terry Hietpas, PharmD

Pharmacist · White Bear Lake, MN

NPI number 1104413731 Active

Practice location

1059 Meadowlands Dr
White Bear Lake, MN 55127-2346

Call (651) 426-5006 Map

Mailing address

1425 Hickory Trl
White Bear Lake, MN 55110-2272

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X116806 (MN)

Pharmacist: 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 modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1104413731

Terry Hietpas, PharmD's National Provider Identifier is 1104413731, issued on Dec 29, 2020. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in White Bear Lake, MN. The record was last updated on Dec 29, 2020.