Individual provider · Type 1 NPI

Edwin Ma Thao

Pharmacist · Coon Rapids, MN

NPI number 1871069310 Active

Practice location

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

Call (763) 236-7111 Map

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X125332 (MN)
Pharmacist 183500000X79678 (CA)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

3 other providers at this address

Other pharmacist providers in Coon Rapids

See all in Coon Rapids →

About NPI 1871069310

Edwin Ma Thao's National Provider Identifier is 1871069310, issued on Oct 23, 2018. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Coon Rapids, MN. The record was last updated on Sep 12, 2022.