Healthcare Provider Details

I. General information

NPI: 1174328348
Provider Name (Legal Business Name): CHAOHAO ZHU PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/13/2025
Last Update Date: 02/13/2025
Certification Date: 02/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 STATE HIGHWAY 55 NE
BUFFALO MN
55313-4321
US

IV. Provider business mailing address

2929 UNIVERSITY AVE SE APT 1201
MINNEAPOLIS MN
55414-4445
US

V. Phone/Fax

Practice location:
  • Phone: 763-682-5633
  • Fax:
Mailing address:
  • Phone: 612-666-3773
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number126819
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: