Individual
EMEBEAT A TIBEBU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
818 WASHINGTON AVE SE, MINNEAPOLIS, MN 55414-3035
(612) 331-4240
(612) 331-4240
Mailing address
818 WASHINGTON AVE SE, MINNEAPOLIS, MN 55414-3035
(612) 331-4240
(612) 331-4240
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
124101
MN
Other
Enumeration date
04/23/2020
Last updated
04/23/2020
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