Individual
TAM MINH PHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
6300 WEDGWOOD RD N, MAPLE GROVE, MN 55311-3647
(763) 551-1215
Mailing address
6300 WEDGWOOD RD N, MAPLE GROVE, MN 55311-3647
(763) 551-1215
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
124710
MN
Other
Enumeration date
06/16/2022
Last updated
06/16/2022
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