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

Lori Rae Pederson, RPH

Individual provider Pharmacist · NPI 1487250593

Lori Rae Pederson, RPH is a Pharmacist in Blaine, Minnesota. Licensed in Minnesota. Registered with an NPI since 2020.

Licensed in
MN
In the registry since
2020
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

4205 Pheasant Ridge Dr NE
Blaine, MN 55449-6299
Phone: (763) 784-0334
Fax: (763) 784-0346
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 113669 (MN)

Record details

NPI number1487250593
Entity typeIndividual (Type 1)
GenderFemale
Credentials RPH
Sole proprietorNo
NPI enumeratedDecember 5, 2020
Last updated in NPPESDecember 5, 2020
Certification dateNovember 20, 2020
Mailing address4205 Pheasant Ridge Dr Ne, Blaine, MN 55449-6299

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