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Lori Rae Pederson, RPH
Pharmacist in Blaine, Minnesota
NPI 1487250593

Lori Rae Pederson is a Pharmacist based in Blaine, MN. Lori Rae Pederson practices in Blaine, MN and has the professional credentials of RPH. The NPI Number for Lori Rae Pederson is 1487250593 and holds a License No. 113669 (Minnesota).

The current practice location address for Lori Rae Pederson is 4205 Pheasant Ridge Dr Ne, Blaine, MN and can be reached out via phone at 763-784-0334 and via fax at 763-784-0346.

Location: 4205 Pheasant Ridge Dr Ne, Blaine, MN, 55449-6299
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487250593
Provider Name
Lori Rae Pederson
Credential
RPH
Provider Entity Type
Individual
Gender
Female
Address
4205 Pheasant Ridge Dr Ne, Blaine, MN, 55449-6299
Phone Number
763-784-0334
Fax Number
763-784-0346
Provider Enumeration Date
12/05/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4205 Pheasant Ridge Dr Ne
City
Blaine
State
Minnesota
Zip
55449-6299
Phone Number
763-784-0334
Fax Number
763-784-0346
person
Provider Business Mailing Address Details
Address
4205 Pheasant Ridge Dr Ne
City
Blaine
State
Minnesota
Zip
55449-6299
Phone Number
763-784-0334
Fax Number
763-784-0346
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
113669 (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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