Healthcare Provider Details

I. General information

NPI: 1497476493
Provider Name (Legal Business Name): ASHLEY TOIKKA PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/07/2022
Last Update Date: 09/07/2022
Certification Date: 09/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10881 UNIVERSITY AVE NE
BLAINE MN
55434-8032
US

IV. Provider business mailing address

22190 RAVEN ST NW
CEDAR MN
55011-9229
US

V. Phone/Fax

Practice location:
  • Phone: 763-767-8272
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number125708
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: