Individual
AHMEDFOWZ MOHAMED OSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
6728 WEST TRAIL, EDIAN, MN 55439-0000
(952) 836-5866
Mailing address
6728 WEST TRL, EDINA, MN 55439-1061
(952) 836-5866
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
118411
MN
Other
Enumeration date
07/01/2011
Last updated
07/01/2011
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