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General NPI Number Information
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NPI Number | 1841128998
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Entity Type | Individual
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Provider Name | JAMIE SMUDER PHARMD
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Gender | Female
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Dates
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Enumeration Date | 05/11/2026
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Last Update Date | 05/11/2026
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Provider Practice Location Address
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Address Line | 3650 VICTORIA ST N
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City | SHOREVIEW
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State | MN
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Zip | 55126-2906
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Country | US
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Telephone | 651-982-7500
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Fax |
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Provider Business Mailing Address
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Address Line | 8350 470TH ST
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City | HARRIS
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State | MN
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Zip | 55032-3004
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 119683
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License Number State | MN
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