Thong Thao

NPI #1972902468 in Brooklyn Center, Minnesota

Provider Information

NPI Number: 1972902468
Entity Type: Individual
Name: Thong Thao
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Aug 20, 2014
Last Updated: Aug 20, 2014

Practice Location

Address: 6390 BROOKLYN BLVD
City: Brooklyn Center
State: Minnesota
ZIP Code: 55429-2600
Phone: (763) 585-9946

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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