# TRIA PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992577928
- **Authorized official:** MR. AHMEDFOWZ MOHAMED OSMAN RPH (PHARMACIST/OWNER)
- **Authorized official phone:** (952) 836-5866

## Contact information

- **Practice address:** 7687 WASHINTON AVE S, EDINA, MN 55439
- **Practice address phone:** (952) 836-5866
- **Mailing address:** 7687 WASHINTON AVE S, EDINA, MN 55439
- **Mailing address phone:** (952) 836-5866

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |
| 3336S0011X | Specialty Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 10/24/2023
- **Last updated:** 10/24/2023