Individual
SUBHASHRI RAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10200 6TH AVE N, PLYMOUTH, MN 55441-6399
(763) 545-1916
Mailing address
6387 KINGSVIEW LN N, MAPLE GROVE, MN 55311-4130
(952) 994-1057
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
118212
MN
Other
Enumeration date
12/04/2020
Last updated
12/04/2020
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