Individual
LARS ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
900 CENTRAL AVE E, SAINT MICHAEL, MN 55376-4594
(763) 497-7069
(763) 497-3605
Mailing address
900 CENTRAL AVE E, SAINT MICHAEL, MN 55376-4594
(763) 497-7069
(763) 497-3605
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
125680
MN
Other
Enumeration date
08/07/2022
Last updated
08/07/2022
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