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

Mitchell Petersen

Individual provider Pharmacy Technician · NPI 1164962213

Mitchell Petersen is a Pharmacy Technician in Saint Paul, Minnesota. Practices as a sole proprietor. Registered with an NPI since 2017.

In the registry since
2017

Practice location Address checks out

550 Vandalia St 175
Saint Paul, MN 55114-1833
Phone: (651) 313-6733
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacy Technician (primary) Taxonomy 183700000X

Record details

NPI number1164962213
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 7, 2017
Last updated in NPPESMarch 7, 2017
Mailing address4251 Sunrise Rd, Eagan, MN 55122-2246

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