Provider Demographics
NPI:1629334115
Name:SETTERLUND, ANDREW G (BS PHARMACY)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:G
Last Name:SETTERLUND
Suffix:
Gender:M
Credentials:BS PHARMACY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8949 UNIVERSITY AVE NE
Mailing Address - Street 2:
Mailing Address - City:BLAINE
Mailing Address - State:MN
Mailing Address - Zip Code:55434-8000
Mailing Address - Country:US
Mailing Address - Phone:763-786-6820
Mailing Address - Fax:786-786-3276
Practice Address - Street 1:8949 UNIVERSITY AVE NE
Practice Address - Street 2:
Practice Address - City:BLAINE
Practice Address - State:MN
Practice Address - Zip Code:55434-8000
Practice Address - Country:US
Practice Address - Phone:763-786-6820
Practice Address - Fax:786-786-3276
Is Sole Proprietor?:No
Enumeration Date:2012-04-09
Last Update Date:2012-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN111752183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist