Individual
MOHAMED ABOUBADRIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8600 SPRINGBROOK DR NW, COON RAPIDS, MN 55433-6033
(763) 785-0720
Mailing address
10037 TOLEDO DR N, BROOKLYN PARK, MN 55443-2378
(952) 219-2546
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
123579
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
123579
MINNESOTA BOARD OF PHARMACY
—
Enumeration date
10/05/2022
Last updated
10/05/2022
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