Thao, Edwin Ma

Thao, Edwin Ma is an individual health care provider with primary practice located at 11850 Blackfoot St Nw Ste 190 , Coon Rapids MN 55433-2583. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Thao, Edwin Ma can be contacted via phone (763) 236-7111.

Contact Information

Primary practice address
11850 Blackfoot St Nw Ste 190 Coon Rapids MN 55433-2583
Phone: (763) 236-7111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 125332 Minnesota
Pharmacy Service Providers / Pharmacist 183500000X 79678 California

Profile Details

NPI number 1871069310
LBN Legal business name Thao, Edwin Ma
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2018
Last updated Sep 12th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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