IndividualActive
Andrea Bistodeau, PHARMD
NPI 1760007918 · Pharmacist · Blaine, MN
Provider details
- NPI number
- 1760007918
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Female
- Sole proprietor
- No
- License
- 116919 (MN)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
4369 Ball Road Ne
Blaine, MN 55014
Phone: (763) 784-0862
Approximate (ZIP-level) locationGet directions
Mailing address
4369 Ball Road Ne
Blaine, MN 55014
Registry dates
- Enumerated
- 2020-06-13
- Last updated
- 2020-06-13
- Certified
- 2020-06-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.