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

Mr. Raymond Keith Vellenga, RPH

Individual provider Pharmacist · NPI 1356614119

Mr. Raymond Keith Vellenga, RPH is a Pharmacist in Forest Lake, Minnesota. Licensed in Minnesota. Registered with an NPI since 2012.

Licensed in
MN
In the registry since
2012
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

7617 172nd Ave NE
Forest Lake, MN 55025-8873
Phone: (651) 464-5274
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 110257 (MN)

Record details

NPI number1356614119
Entity typeIndividual (Type 1)
GenderMale
Credentials RPH
Sole proprietorNo
NPI enumeratedFebruary 9, 2012
Last updated in NPPESFebruary 9, 2012

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