Individual
ANDREW FELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
4050 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433-2522
(763) 236-7517
Mailing address
3750 118TH LN NW, COON RAPIDS, MN 55433-2668
(651) 335-5033
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
121251
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
121251
MN BOARD OF PHARMACY LICENSE NUMBER
MN
Enumeration date
10/15/2013
Last updated
10/15/2013
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