Ketcham, Andrea

Ketcham, Andrea is an individual health care provider with primary practice located at 6100 Shingle Creek Pkwy , Brooklyn Center MN 55430-2110. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Ketcham, Andrea can be contacted via phone (763) 566-0143.

Contact Information

Primary practice address
6100 Shingle Creek Pkwy Brooklyn Center MN 55430-2110
Phone: (763) 566-0143
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 6302 South Dakota
Pharmacy Service Providers / Pharmacist 183500000X 122325 Minnesota

Profile Details

NPI number 1821470824
LBN Legal business name Ketcham, Andrea
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2015
Last updated Aug 26th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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