IndividualActive
Lars Anderson
NPI 1407583610 · Pharmacist · Saint Michael, MN
Provider details
- NPI number
- 1407583610
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 125680 (MN)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
900 Central Ave E
Saint Michael, MN 55376-4594
Phone: (763) 497-7069
Fax: (763) 497-3605
Street-level locationGet directions
Mailing address
900 Central Ave E
Saint Michael, MN 55376-4594
Registry dates
- Enumerated
- 2022-08-07
- Last updated
- 2022-08-07
- Certified
- 2022-08-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.