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
Phone: (507) 744-2958
Fax: (507) 744-5894
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801118955 | NPPES |
| Minnesota | Other | 114314 | PHARMACIST LICENSE NUMBER |
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