Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Diane Koetz, RPH

Individual provider Pharmacist · NPI 1467854182

Diane Koetz, RPH is a Pharmacist in Blaine, Minnesota. Licensed in Minnesota and North Dakota. Registered with an NPI since 2014.

Licensed in
MN, ND
In the registry since
2014
Specialties on file
2
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

12480 Aberdeen St NE
Blaine, MN 55449-4721
Phone: (763) 862-6596
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 121785 (MN)
Pharmacist Taxonomy 183500000X · Licence RPH5666 (ND)

Record details

NPI number1467854182
Entity typeIndividual (Type 1)
GenderFemale
Credentials RPH
Sole proprietorNo
NPI enumeratedSeptember 25, 2014
Last updated in NPPESJuly 14, 2022
Certification dateJuly 14, 2022
Mailing address954 154th Ave Ne, Ham Lake, MN 55304-5563

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