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Organization
OUR FAMILY PHARMACY LLC
Active
Organization
OUR FAMILY PHARMACY LLC
Active
Other names
Our Family Pharmacy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
TRUNG NGUYEN (OWNER)
(651) 600-3988
Entity
Organization
Contact information
Practice address
601 UNIVERSITY AVE W, SAINT PAUL, MN 55103-1940
(651) 600-3988
(651) 788-9068
Mailing address
601 UNIVERSITY AVE W, SAINT PAUL, MN 55103-1940
(651) 600-3988
(651) 788-9068
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
265127
MN
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2162426
PK
—
Enumeration date
08/03/2016
Last updated
08/24/2016
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