Individual
THI NGA THI TRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9273 LAKE DR, CIRCLE PINES, MN 55014-3764
(763) 783-7005
Mailing address
1260 LARPENTEUR AVE W APT 409, SAINT PAUL, MN 55113-6331
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
124107
MN
Other
Enumeration date
09/01/2020
Last updated
09/01/2020
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