Edwin Ma Thao
Pharmacist in Coon Rapids, MN. Individual provider (NPI-1).
NPI number1871069310
StatusActive
Last updated in NPPESSep 12, 2022
Details
- NPI
- 1871069310
- Entity type
- Individual (NPI-1)
- Name
- Edwin Ma Thao
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 23, 2018
- Certification date
- Sep 12, 2022
- Last updated
- Sep 12, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 125332 | MN | Yes |
| 183500000X | Pharmacist | 79678 | CA |
Practice location
11850 Blackfoot St Nw Ste 190Coon Rapids, MN 55433-2583
Phone 763-236-7111
Mailing address
18212 79th Pl NMaple Grove, MN 55311-1911
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Pharmacist providers in Coon Rapids, MN
- Mohamed AboubadriaNPI 1083339766
- Syed S Ahmed, PHARM-DNPI 1851927438
- Sara AsmusNPI 1346878188
- Michael Ausmus, PHARMDNPI 1932573102
- Anna Laurie Averbeck, PHARM/ DNPI 1114181724
- Laura Ann BaumgartnerNPI 1649874140
- Luke BialkaNPI 1720996986
- Daniel Jerome Bieurance, RPHNPI 1205178852
- Heather Lynne Blue, PHARMDNPI 1003070947
- Kelly Lynn Breemeersch, RPHNPI 1477839322
All 64 Pharmacist providers in Coon Rapids · All 2,183 providers in Coon Rapids
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.