# PHALEN FAMILY PHARMACY LTD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356128094
- **Authorized official:** DR. CHENG LO PHARM.D. (PRESIDENT)
- **Authorized official phone:** (651) 209-9000

## Contact information

- **Practice address:** 1001 JOHNSON PKWY STE B-23, SAINT PAUL, MN 55106-3474
- **Practice address phone:** (651) 209-9000
- **Practice address fax:** (651) 209-9009
- **Mailing address:** 1001 JOHNSON PKWY STE B-23, SAINT PAUL, MN 55106-3474
- **Mailing address phone:** (651) 209-9000
- **Mailing address fax:** (651) 209-9009

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 09/14/2023
- **Last updated:** 10/08/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 263673 | STATE LICENSE NUMBER | MN |