Thongvathsa, Soutsada Sandy
Thongvathsa, Soutsada Sandy is an individual health care provider with primary practice located at 12011 Technology Dr , Eden Prairie MN 55344-3620. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Thongvathsa, Soutsada Sandy can be contacted via phone (952) 943-4828.Contact Information
Primary practice address
12011 Technology Dr
Eden Prairie MN 55344-3620
Phone: (952) 943-4828
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 18851-40 | Wisconsin |
| Pharmacy Service Providers / Pharmacist | 183500000X | 123530 | Minnesota |
Profile Details
| NPI number | 1821654377 |
|---|---|
| LBN Legal business name | Thongvathsa, Soutsada Sandy |
| Credentials | PHARMD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 9th, 2019 |
| Last updated | May 9th, 2019 - about 7 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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