Tuyen Pham
Pharmacist in Minneapolis, MN. Individual provider (NPI-1).
NPI number1164033148
StatusActive
Last updated in NPPESAug 12, 2020
Details
- NPI
- 1164033148
- Entity type
- Individual (NPI-1)
- Name
- Tuyen Pham
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 12, 2020
- Certification date
- Aug 12, 2020
- Last updated
- Aug 12, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 124020 | MN | Yes |
| 1835P0018X | Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 124020 | MN |
Practice location
5428 Lyndale Ave SMinneapolis, MN 55419-1718
Phone 612-824-1121 · Fax 612-824-2577
Mailing address
5428 Lyndale Ave SMinneapolis, MN 55419-1718
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