Organization
OUR FAMILY PHARMACY LLC
Active
Other names
Our Family Pharmacy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
TRUNG NGUYEN (OWNER)
(651) 600-3988
Entity
Organization
Contact information
Practice address
601 UNIVERSITY AVE W, SAINT PAUL, MN 55103-1940
(651) 600-3988
(651) 788-9068
Mailing address
601 UNIVERSITY AVE W, SAINT PAUL, MN 55103-1940
(651) 600-3988
(651) 788-9068
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
265127
MN
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2162426
PK
—
Enumeration date
08/03/2016
Last updated
08/24/2016
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