NPI 1003193160

Daniel Fandrich

Practitioner Pharmacist Mankato, MN

Practice location

Address: 1270 E Madison Ave, Mankato, MN 56001-5228
Phone: (507) 388-1315
Fax: (507) 388-6369

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 114598 (MN)

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Registry record

NPI: 1003193160
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Nov 2011
Record last updated: 3 Nov 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.