Individual
THU-THAO PHAN-LY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2555 W 79TH ST, BLOOMINGTON, MN 55431-1250
(952) 888-4677
Mailing address
5949 WATERFORD CT, SHAKOPEE, MN 55379-7082
(612) 384-5275
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
117067
MN
Other
Enumeration date
12/27/2020
Last updated
08/25/2022
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