Pederson, Brenda Marie

Pederson, Brenda Marie is an sole proprietor health care provider with primary practice located at 6616 Union Lake Trl , Lonsdale MN 55046-4324. She recently has only one registered license in Pharmacy Service Providers / Geriatric, which is considered as her primary health care specialty. Pederson, Brenda Marie can be contacted via phone (507) 744-2958.

Contact Information

Primary practice address
6616 Union Lake Trl Lonsdale MN 55046-4324
Fax: (507) 744-5894
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Geriatric 1835G0303X 114314 Minnesota

Profile Details

NPI number 1801118955
LBN Legal business name Pederson, Brenda Marie
Credentials RPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 17th, 2010
Last updated Feb 17th, 2010 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1801118955 NPPES
Minnesota Other 114314 PHARMACIST LICENSE NUMBER

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