Individual
KAO SHOUA LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12900 RIVERDALE DR NW, COON RAPIDS, MN 55448-1282
(763) 421-0065
Mailing address
3883 86TH AVE NE, CIRCLE PINES, MN 55014-4053
(651) 278-9397
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
124014
MN
Other
Enumeration date
12/23/2020
Last updated
12/23/2020
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