Individual
MAI HOANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1471 ROBERT ST S, WEST SAINT PAUL, MN 55118-3141
(651) 552-6029
Mailing address
1471 ROBERT ST S, WEST SAINT PAUL, MN 55118-3141
(651) 552-6029
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
123863
MN
Other
Enumeration date
04/20/2020
Last updated
04/20/2020
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