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

Tanner Mark Ruprecht

Individual provider Pharmacist · NPI 1346839164

Tanner Mark Ruprecht is a Pharmacist in Maple Grove, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2021

Practice location Address checks out

16502 77th Cir N
Maple Grove, MN 55311-3733
Phone: (763) 732-3103
Show map & directions

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

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 124928 (MN)

Record details

NPI number1346839164
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 15, 2021
Last updated in NPPESJanuary 15, 2021
Certification dateJanuary 15, 2021
Mailing address16502 77th Cir N, Maple Grove, MN 55311-3733

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