Provider Demographics
NPI:1679161061
Name:ANDREW, MARGARET (PHARMD)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:ANDREW
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 8TH AVE S UNIT 306
Mailing Address - Street 2:
Mailing Address - City:HOPKINS
Mailing Address - State:MN
Mailing Address - Zip Code:55343-4603
Mailing Address - Country:US
Mailing Address - Phone:224-636-1158
Mailing Address - Fax:
Practice Address - Street 1:1471 ROBERT ST S
Practice Address - Street 2:
Practice Address - City:WEST ST PAUL
Practice Address - State:MN
Practice Address - Zip Code:55118-3141
Practice Address - Country:US
Practice Address - Phone:651-552-6029
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-02
Last Update Date:2021-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN123309183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist