Individual
MR. PHILIP ANDREW PEDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2010 ADAMS ST, MANKATO, MN 56001-6817
(507) 625-7565
(507) 625-2606
Mailing address
108 LYNX LN, MANKATO, MN 56001-8653
(507) 381-1317
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
118691
MN
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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