Organization
PHALEN FAMILY PHARMACY LTD
Active
Other names
Phalen Family Pharmacy Ltd
Organization subpart
No
Provider details
NPI number
Authorized official
MAY XIA LO (PHARMACIST/ OWNER)
(612) 807-0269
Entity
Organization
Contact information
Practice address
1001 JOHNSON PKWY STE B23, SAINT PAUL, MN 55106-3474
(651) 209-9000
(651) 209-9009
Mailing address
1001 JOHNSON PKWY # B23, SAINT PAUL, MN 55106-3474
(651) 209-9000
(651) 209-9009
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
263673
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2430736
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
04/05/2011
Last updated
10/19/2019
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