Healthcare Provider Details

I. General information

NPI: 1649951922
Provider Name (Legal Business Name): ANNIKA ELIZABETH SKOGG PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2023
Last Update Date: 02/07/2025
Certification Date: 02/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

234 WENTWORTH AVE E
WEST SAINT PAUL MN
55118-3525
US

IV. Provider business mailing address

1435 HAMPSHIRE AVE S
ST LOUIS PARK MN
55426-2167
US

V. Phone/Fax

Practice location:
  • Phone: 651-455-2940
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number126142
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: