MEDICARE: BRITTNEY DANDURAND

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	122841	MN

General Provider Information

NPI Number	:	1992221501
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTNEY DANDURAND

Provider Business Mailing Address
First Line	:	1010 ENTERPRISE DR E
Second Line	:
City	:	BELLE PLAINE
State	:	MN
Zip	:	56011-2340
Country	:	US
Telephone Number	:	952-873-2605
Fax Number	:	952-873-6475

Provider Business Practice Location Address
First Line	:	1010 ENTERPRISE DR E
Second Line	:
City	:	BELLE PLAINE
State	:	MN
Zip	:	56011-2340
Country	:	US
Telephone Number	:	952-873-2605
Fax Number	:	952-873-6475

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

Provider Enumeration Date	:	08/15/2017
Last Update Date	:	07/21/2022

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Directions to “ BRITTNEY DANDURAND ” Practice Location

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