Individual
DR. KHAO YEU LY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.,R.PH.
Contact information
Practice address
1177 CLARENCE STREET, SAINT PAUL, MN 55106-2809
(651) 774-7772
(651) 774-7771
Mailing address
85 ORANGE AVENUE WEST, ST PAUL, MN 55117
(651) 489-2718
(651) 774-7771
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
117872
MN
Other
Enumeration date
07/07/2009
Last updated
07/07/2009
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