Wyatt Bader is a Pharmacist based in Blaine, MN. Wyatt Bader practices in Blaine, MN. The NPI Number for Wyatt Bader is 1043948607 and holds a License No. 125679 (Minnesota).
The current practice location address for Wyatt Bader is 4202 Pheasant Ridge Dr Ne, Blaine, MN and can be reached out via phone at 651-255-1498.
Location: 4202 Pheasant Ridge Dr Ne, Blaine, MN, 55449-4529
Provider Profile Details
NPI Number
1043948607
Provider Name
Wyatt Bader
Credential
Provider Entity Type
Individual
Gender
Male
Address
4202 Pheasant Ridge Dr Ne, Blaine, MN, 55449-4529
Phone Number
651-255-1498
Fax Number
Provider Enumeration Date
08/11/2022
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
4202 Pheasant Ridge Dr Ne
City
State
Zip
55449-4529
Phone Number
651-255-1498
Fax Number
Provider Business Mailing Address Details
Address
4202 Pheasant Ridge Dr Ne
City
State
Zip
55449-4529
Phone Number
651-255-1498
Fax Number
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
License No.
125679 (Minnesota)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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