Edwin Ma Thao

Pharmacist · Coon Rapids, MN

Individual Active NPI

NPI number 1871069310

Practice location

11850 Blackfoot St NW Ste 190
Coon Rapids, MN 55433-2583
Phone
(763) 236-7111

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NPI record

NPI
1871069310
Entity type
Individual (Type 1)
Enumeration date
October 23, 2018
Last updated
September 12, 2022
Certified
September 12, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 125332 MN
Pharmacist 183500000X 79678 CA

Mailing address

18212 79TH Pl N
Maple Grove, MN 55311-1911

About Edwin Thao

Edwin Ma Thao is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 11850 Blackfoot St NW Ste 190, Coon Rapids, MN 55433-2583. The NPI number 1871069310 was assigned on October 23, 2018 and the record was last updated on September 12, 2022.

Edwin Thao lists 2 licenses in the registry: #125332 (MN) for Pharmacist; #79678 (CA) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Edwin Ma Thao?

The NPI number is 1871069310.

What is the phone number of Edwin Thao?

The phone number listed for the practice location is (763) 236-7111.

Where is Edwin Thao located?

11850 Blackfoot St NW Ste 190, Coon Rapids, MN 55433-2583.

What is the taxonomy code for Edwin Thao?

The primary taxonomy code is 183500000X – Pharmacist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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