NPI 1013350644

Justin Lee Anderson, PHARMD

Practitioner Pharmacist Saint Paul, MN

Practice location

Address: 153 Cesar Chavez St, Saint Paul, MN 55107-2226
Phone: (651) 602-7589

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 120832 (MN)

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Registry record

NPI: 1013350644
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Apr 2013
Record last updated: 13 Apr 2013

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.