Individual
DR. SUSAN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
4005 VINEWOOD LANE N, WALGREENS 02767, PLYMOUTH, MN 55442
(763) 553-9731
(763) 553-9144
Mailing address
4005 VINEWOOD LANE N, WALGREENS 02767, PLYMOUTH, MN 55442
(763) 553-9731
(763) 553-9144
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
121755
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
121755
MN BOARD OF PHARMACY LICENSE NUMBER
MN
Enumeration date
02/24/2015
Last updated
02/24/2015
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