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

Wyatt Bader

Individual provider Pharmacist · NPI 1043948607

Wyatt Bader is a Pharmacist in Blaine, Minnesota. Licensed in Minnesota. Registered with an NPI since 2022.

Licensed in
MN
In the registry since
2022

Practice location Address checks out

4202 Pheasant Ridge Dr NE
Blaine, MN 55449-4529
Phone: (651) 255-1498
Show map & directions

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

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 125679 (MN)

Record details

NPI number1043948607
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 11, 2022
Last updated in NPPESAugust 11, 2022
Certification dateAugust 11, 2022
Mailing address4202 Pheasant Ridge Dr Ne, Blaine, MN 55449-4529

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