Individual
STEVEN LY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1198 VIERLING DR E, SHAKOPEE, MN 55379-4316
(952) 445-6344
Mailing address
1198 VIERLING DR E, SHAKOPEE, MN 55379-4316
(952) 445-6344
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
124846
MN
Other
Enumeration date
12/04/2020
Last updated
12/04/2020
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