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NPI Code Detail

MEDICARE: DR. ANDREW ROGER LINDLOFF PHARMD

MEDICARE: DR. ANDREW ROGER LINDLOFF PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist118479MN
2183500000XPharmacist15061-40WI

General Provider Information

NPI Number : 1316371917
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANDREW ROGER LINDLOFF PHARMD
Provider Business Mailing Address
First Line : 110 W 4TH ST
Second Line :
City : NEW RICHMOND
State : WI
Zip : 54017-1722
Country : US
Telephone Number : 715-246-2186
Fax Number : 715-246-7115
Provider Business Practice Location Address
First Line : 110 W 4TH ST
Second Line :
City : NEW RICHMOND
State : WI
Zip : 54017-1722
Country : US
Telephone Number : 715-246-2186
Fax Number : 715-246-7115
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2013
Last Update Date : 07/28/2014

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