Individual
DR. JUSTIN LEE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
153 CESAR CHAVEZ ST, SAINT PAUL, MN 55107-2226
(651) 602-7589
Mailing address
153 CESAR CHAVEZ ST, SAINT PAUL, MN 55107-2226
(651) 602-7589
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
120832
MN
Other
Enumeration date
04/13/2013
Last updated
04/13/2013
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