IndividualActive
Jan Pederson, PHARM.D.
NPI 1295851228 · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Thief River Falls, MN
Provider details
- NPI number
- 1295851228
- Entity type
- Individual
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
- Credential
- PHARM.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 116988 (MN)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
215 Pennington Ave
Pharmacy
Thief River Falls, MN 56701-2900
Phone: (218) 681-1515
Approximate (ZIP-level) locationGet directions
Mailing address
21096 Gold Coast Rd Nw
Bemidji, MN 56601-9180
Registry dates
- Enumerated
- 2007-03-21
- Last updated
- 2020-05-08
- Certified
- 2020-05-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.