Individual
MARIANNA WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
8170 33RD AVE S, MAIL STOP 21111B, BLOOMINGTON, MN 55425-4516
(952) 967-6953
Mailing address
8170 33RD AVE S, MAIL STOP 21111B, BLOOMINGTON, MN 55425-4516
(952) 967-6953
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
122054
MN
Other
Enumeration date
10/06/2014
Last updated
10/06/2014
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