Individual
LIONEL N NGANSOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
150 WESTERN AVE NW, FARIBAULT, MN 55021-4504
(507) 332-0084
Mailing address
150 WESTERN AVE NW, FARIBAULT, MN 55021-4504
(507) 332-0084
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
1-103509
KS
183500000X
Pharmacist
Primary
125035
MN
183500000X
Pharmacist
5302046629
MI
Other
Enumeration date
06/28/2018
Last updated
04/19/2021
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