Individual
MS. AIDA IBAREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7535 W BROADWAY AVE, BROOKLYN PARK, MN 55428-1287
(763) 425-5300
Mailing address
5302 KINGS XING, BROOKLYN PARK, MN 55443-1601
(617) 304-9403
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
119556
MN
Other
Enumeration date
06/21/2011
Last updated
06/21/2011
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