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Lucas Robert Vandergon
Pharmacist in Plymouth, Minnesota
NPI 1710653001

Lucas Robert Vandergon is a Pharmacist based in Maple Grove, MN. Lucas Robert Vandergon practices in Plymouth, MN. The NPI Number for Lucas Robert Vandergon is 1710653001 and holds a License No. 125352 (Minnesota).

The current practice location address for Lucas Robert Vandergon is 3255 Vicksburg Ln N, Plymouth, MN and can be reached out via phone at 763-253-8917.

Location: 3255 Vicksburg Ln N, Plymouth, MN, 55311-1490
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710653001
Provider Name
Lucas Robert Vandergon
Credential
Provider Entity Type
Individual
Gender
Male
Address
3255 Vicksburg Ln N, Plymouth, MN, 55311-1490
Phone Number
763-253-8917
Fax Number
Provider Enumeration Date
08/18/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3255 Vicksburg Ln N
City
Plymouth
State
Minnesota
Zip
55447-1317
Phone Number
763-253-8917
Fax Number
person
Provider Business Mailing Address Details
Address
3255 Vicksburg Ln N
City
Plymouth
State
Minnesota
Zip
55447-1317
Phone Number
763-253-8917
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
125352 (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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