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NPI Code Detail

MEDICARE: MRS. JULIE A ANDERSON RPH

MEDICARE: MRS. JULIE A ANDERSON 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
1183500000XPharmacist114556MN

General Provider Information

NPI Number : 1871878850
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JULIE A ANDERSON RPH
Provider Business Mailing Address
First Line : 10396 BOUNDARY CREEK TER
Second Line :
City : MAPLE GROVE
State : MN
Zip : 55369-2841
Country : US
Telephone Number : 763-493-3577
Fax Number :
Provider Business Practice Location Address
First Line : 11401 MARKETPLACE DR N
Second Line :
City : CHAMPLIN
State : MN
Zip : 55316-3794
Country : US
Telephone Number : 763-427-6389
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2011
Last Update Date : 10/25/2011

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Directions to “ MRS. JULIE A ANDERSON RPH” Practice Location

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