MEDICARE: ANDREA JEAN HEGLAND 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
1	1835P1200X	Pharmacotherapy Pharmacist	123782	MN

General Provider Information

NPI Number	:	1629564620
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREA JEAN HEGLAND PHARMD

Provider Business Mailing Address
First Line	:	1 VETERANS DR
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55417-2309
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	ONE VETERANS DRIVE
Second Line	:	PHARMACY SERVICE (119)
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55438
Country	:	US
Telephone Number	:	612-432-9660
Fax Number	:

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

Provider Enumeration Date	:	07/03/2018
Last Update Date	:	09/04/2025

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