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NPI Code Detail

MEDICARE: ANDJELA ANDRIC PHARMD

MEDICARE:   ANDJELA  ANDRIC  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
1183500000XPharmacist126820MN

General Provider Information

NPI Number : 1114811072
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDJELA ANDRIC PHARMD
Provider Business Mailing Address
First Line : 2100 LYNDALE AVE S
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55405-3686
Country : US
Telephone Number : 612-872-7808
Fax Number :
Provider Business Practice Location Address
First Line : 2100 LYNDALE AVE S
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55405-3686
Country : US
Telephone Number : 612-872-7808
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2025
Last Update Date : 06/05/2025

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Directions to “ ANDJELA ANDRIC PHARMD” Practice Location

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