Healthcare Provider Details

I. General information

NPI: 1558282459
Provider Name (Legal Business Name): PETE SCHIRRICK RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

580 RICE ST
SAINT PAUL MN
55103-2148
US

IV. Provider business mailing address

2500 2ND ST NE APT 601
MINNEAPOLIS MN
55418-3588
US

V. Phone/Fax

Practice location:
  • Phone: 651-227-6551
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number127409
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: