Individual provider · Type 1 NPI

Philip Andrew Pederson, PharmD

Pharmacist · Mankato, MN

NPI number 1376661892 Active

Practice location

2010 Adams St
Mankato, MN 56001-6817

Call (507) 625-7565 Map

Fax (507) 625-2606

Mailing address

108 Lynx Ln
Mankato, MN 56001-8653

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X118691 (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 1376661892

Philip Andrew Pederson, PharmD's National Provider Identifier is 1376661892, issued on Mar 26, 2007. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Mankato, MN. The record was last updated on Jul 8, 2007.