Individual
AMY ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2101 KENNEDY ST NE, MINNEAPOLIS, MN 55413-2606
(612) 672-6864
Mailing address
2101 KENNEDY ST NE, MINNEAPOLIS, MN 55413-2606
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
117938
MN
Other
Enumeration date
04/28/2020
Last updated
04/28/2020
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