Provider Demographics
NPI:1063624559
Name:AURANDT, SHERYL NELSON (RPH)
Entity type:Individual
Prefix:MRS
First Name:SHERYL
Middle Name:NELSON
Last Name:AURANDT
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:716 FOX RD
Mailing Address - Street 2:
Mailing Address - City:LINO LAKES
Mailing Address - State:MN
Mailing Address - Zip Code:55014-5468
Mailing Address - Country:US
Mailing Address - Phone:651-490-9512
Mailing Address - Fax:651-426-5711
Practice Address - Street 1:1059 MEADOWLANDS DR
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55127-2323
Practice Address - Country:US
Practice Address - Phone:651-426-5006
Practice Address - Fax:651-426-5711
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN115256183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist