Provider Demographics
NPI:1902924863
Name:QUALE, SONJA KAY (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SONJA
Middle Name:KAY
Last Name:QUALE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:SONJA
Other - Middle Name:KAY
Other - Last Name:LARSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMD
Mailing Address - Street 1:964 WOODVIEW CIR
Mailing Address - Street 2:
Mailing Address - City:CARVER
Mailing Address - State:MN
Mailing Address - Zip Code:55315-4519
Mailing Address - Country:US
Mailing Address - Phone:952-837-7886
Mailing Address - Fax:
Practice Address - Street 1:6625 W 78TH ST
Practice Address - Street 2:BL0440
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55439-2604
Practice Address - Country:US
Practice Address - Phone:952-837-7886
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN115971-4183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist