Individual
BO HU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
725 8TH AVE SE # 307, MINNEAPOLIS, MN 55414-1364
(831) 917-9198
Mailing address
725 8TH AVE SE # 307, MINNEAPOLIS, MN 55414-1364
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
122367
MN
Other
Enumeration date
09/23/2016
Last updated
09/23/2016
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