Individual
RAPHAEL AN HOANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12303 JEFFERSON ST NE, BLAINE, MN 55434-2000
(651) 800-5678
Mailing address
12303 JEFFERSON ST NE, BLAINE, MN 55434-2000
(651) 800-5678
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
122570
MN
Other
Enumeration date
05/04/2016
Last updated
05/04/2016
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