Individual
MARIAM AWAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1750 ROBERT ST S, WEST ST PAUL, MN 55118-3919
(651) 455-6626
(651) 455-1903
Mailing address
975 SAVANNAH RD, EAGAN, MN 55123-1542
(651) 214-8711
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
123424
MN
Other
Enumeration date
07/17/2017
Last updated
07/17/2017
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