Individual
MRS. MICHELE MARIE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
SAMS CLUB PHARMACY #6311, 8201 OLD CARRIAGE CT, SHAKOPEE, MN 55379
(952) 496-2982
(952) 496-2985
Mailing address
SAMS CLUB PHARMACY #6311, 8201 OLD CARRIAGE CT, SHAKOPEE, MN 55379
(952) 496-2982
(952) 496-2985
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10619
NE
Other
Enumeration date
11/24/2017
Last updated
09/15/2022
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