Individual
TIA PAULSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
600 W 79TH ST, CHANHASSEN, MN 55317-8301
(952) 252-1084
Mailing address
600 W 79TH ST, CHANHASSEN, MN 55317-8301
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
119543
MN
Other
Enumeration date
04/08/2025
Last updated
04/08/2025
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