MEDICARE: MRS. SHERYL NELSON AURANDT RPH

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
1	183500000X	Pharmacist	115256	MN

General Provider Information

NPI Number	:	1063624559
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SHERYL NELSON AURANDT RPH

Provider Business Mailing Address
First Line	:	716 FOX RD
Second Line	:
City	:	LINO LAKES
State	:	MN
Zip	:	55014-5468
Country	:	US
Telephone Number	:	651-490-9512
Fax Number	:	651-426-5711

Provider Business Practice Location Address
First Line	:	1059 MEADOWLANDS DR
Second Line	:
City	:	SAINT PAUL
State	:	MN
Zip	:	55127-2323
Country	:	US
Telephone Number	:	651-426-5006
Fax Number	:	651-426-5711

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/04/2007
Last Update Date	:	07/08/2007

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