| NPI | 1992577928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHMEDFOWZ MOHAMED OSMAN Pharmacist/Owner 952-836-5866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2023-10-24 |
| Last Update Date | 2023-10-24 |