Individual
DR. SARAH SHORE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2269 5TH ST, WHITE BEAR LAKE, MN 55110-3020
(507) 273-1274
Mailing address
2269 5TH ST, WHITE BEAR LAKE, MN 55110-3020
(507) 273-1274
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
121434
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
121434
PHARMACIST LICENSE NUMBER
MN
Enumeration date
10/10/2022
Last updated
10/10/2022
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