Individual
DR. ANGELLA MARIE THARALDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10 W LAKE ST, MINNEAPOLIS, MN 55408-3116
(612) 827-5309
Mailing address
5551 SHOREVIEW AVE, MINNEAPOLIS, MN 55417-1919
(218) 626-7223
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
120089
MN
183500000X
Pharmacist
16158-040
WI
Other
Enumeration date
02/27/2013
Last updated
02/27/2013
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