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

Paul Conrad Andersen, 183500000X

Individual provider Pharmacist · NPI 1114293867

Paul Conrad Andersen, 183500000X is a Pharmacist in Deer River, Minnesota. Licensed in Minnesota. Registered with an NPI since 2012.

Licensed in
MN
In the registry since
2012

Practice location Address checks out

117 Main Ave E
Deer River, MN 56636-8735
Phone: (218) 246-8642
Show map & directions

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

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 109635 (MN)

Record details

NPI number1114293867
Entity typeIndividual (Type 1)
GenderMale
Credentials 183500000X
Sole proprietorNo
NPI enumeratedMarch 27, 2012
Last updated in NPPESMarch 27, 2012

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