Individual
JAMIE THAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4400 OAK GROVE PKWY N, BROOKLYN PARK, MN 55443-4001
(651) 274-5120
Mailing address
5797 WASHINGTON ST NE, FRIDLEY, MN 55432-5667
(651) 274-5120
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
125427
MN
Other
Enumeration date
09/23/2022
Last updated
09/23/2022
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