Organization
PHALEN FAMILY PHARMACY LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHENG LO PHARM.D. (PRESIDENT)
(651) 209-9000
Entity
Organization
Contact information
Practice address
1001 JOHNSON PKWY STE B-23, SAINT PAUL, MN 55106-3474
(651) 209-9000
(651) 209-9009
Mailing address
1001 JOHNSON PKWY STE B-23, SAINT PAUL, MN 55106-3474
(651) 209-9000
(651) 209-9009
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
263673
STATE LICENSE NUMBER
MN
Enumeration date
09/14/2023
Last updated
10/08/2023
Update your record
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