Provider Demographics
NPI:1962797969
Name:DOAN, TU MINH (PHARMD)
Entity type:Individual
Prefix:MR
First Name:TU
Middle Name:MINH
Last Name:DOAN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:860 MANKATO AVE
Mailing Address - Street 2:T-1096
Mailing Address - City:WINONA
Mailing Address - State:MN
Mailing Address - Zip Code:55987-4867
Mailing Address - Country:US
Mailing Address - Phone:507-452-6308
Mailing Address - Fax:507-452-6308
Practice Address - Street 1:860 MANKATO AVE
Practice Address - Street 2:T-1096
Practice Address - City:WINONA
Practice Address - State:MN
Practice Address - Zip Code:55987-4867
Practice Address - Country:US
Practice Address - Phone:507-452-6308
Practice Address - Fax:507-452-6308
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-17
Last Update Date:2011-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN117871183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist