Individual provider · Type 1 NPI

Hayden Butzlaff

Pharmacist · Forest Lake, MN

NPI number 1861304065 Active

Practice location

356 12th St SW
Forest Lake, MN 55025-1749

Mailing address

1501 Park St
White Bear Lake, MN 55110-7702

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X127552 (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 1861304065

Hayden Butzlaff's National Provider Identifier is 1861304065, issued on Sep 21, 2026. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Forest Lake, MN. The record was last updated on Sep 21, 2026.