Organization
ST PAUL PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KY NOUKY FANG PHARM D (PHARMACIST)
(651) 447-7113
Entity
Organization
Contact information
Practice address
301 UNIVERSITY AVE W, SAINT PAUL, MN 55103-2048
(651) 447-7113
(651) 447-7112
Mailing address
301 UNIVERSITY AVE W, SAINT PAUL, MN 55103-2048
(651) 447-7113
(651) 447-7112
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
118487
MN
3336C0004X
Compounding Pharmacy
118487
MN
Other
Enumeration date
04/17/2015
Last updated
04/17/2015
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