Individual
LORI ANN TSHOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5301 36TH AVE N, CRYSTAL, MN 55422-2885
(763) 287-9797
(763) 287-8597
Mailing address
5301 36TH AVE N, CRYSTAL, MN 55422-2885
(763) 287-9797
(763) 287-8597
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
117883
MN
Other
Enumeration date
12/03/2020
Last updated
12/03/2020
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