Doctor Name: | DR. JENNIFER SORMAN GEDNALSKE |
NPI Number: | 1124388863 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHARM. D. |
License Number: | 117455 |
Business Practice Address: | 550 Osborne Rd Ne Interal Mail Code 52570 Fridley, MN - 554322718 |
Business Phone Number: | 7632364123 |
Business Fax Number: | |
Mailing Address: | 6174 Linda Ln, LINO LAKES |
State: | MN |
Postal Code: | 550146408 |
Phone Number: | 6513402114 |
Fax Number: | |
NPI Enumeration Date: | 05/28/2012 |
NPI Last Update Date: | 05/28/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1835P0018X |
License Number: | 117455 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Pharmacy Service Providers |
Taxonomy Classification: | Pharmacist |
Taxonomy Specialization: | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Taxonomy Definition: | Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |