Provider Demographics
NPI:1659384113
Name:LO, MAY XIA (PHARMD)
Entity Type:Individual
Prefix:
First Name:MAY
Middle Name:XIA
Last Name:LO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 JOHNSON PKWY # B23
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55106-3474
Mailing Address - Country:US
Mailing Address - Phone:651-209-9000
Mailing Address - Fax:
Practice Address - Street 1:1001 JOHNSON PKWY # B23
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55106-3474
Practice Address - Country:US
Practice Address - Phone:651-209-9000
Practice Address - Fax:651-209-9009
Is Sole Proprietor?:No
Enumeration Date:2006-08-15
Last Update Date:2019-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN117586-6183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist