SearchMinnesota183500000X

Soutsada Thongvathsa, PHARMD

NPI 1821654377 · on the registry since 2019

Practice

Address
12011 Technology Dr
Eden Prairie, MN 55344
Phone
(952) 943-4828
Organisation at this address
Costco Wholesale Corporation
Costco Wholesale Corporation
Costco Wholesale Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Additional practice sites

  • 14050 Burnhaven Dr, Burnsville, MN

Registry record

Primary taxonomy
183500000X
183500000X
Also registered as
183500000X
Licence states on file
WI, MN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-05-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota