IndividualActive
Paul Fedor, RPH
NPI 1104976273 · Pharmacist · Becker, MN
Provider details
- NPI number
- 1104976273
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- RPH
- Sex
- Male
- Sole proprietor
- No
- License
- 115014-0 (MN)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
12800 Rolling Ridge Rd
Becker, MN 55308-8838
Phone: (763) 261-7008
Approximate (ZIP-level) locationGet directions
Mailing address
2019 Highview Dr
Sauk Rapids, MN 56379-2641
Registry dates
- Enumerated
- 2007-01-11
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.