Individual provider · Type 1 NPI

Lori Rae Pederson, RPH

Pharmacist · Blaine, MN

NPI number 1487250593 Active

Practice location

4205 Pheasant Ridge Dr NE
Blaine, MN 55449-6299

Fax (763) 784-0346

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X113669 (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…

2 other providers at this address

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About NPI 1487250593

Lori Rae Pederson, RPH's National Provider Identifier is 1487250593, issued on Dec 5, 2020. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Blaine, MN. The record was last updated on Dec 5, 2020.