Organization
SHIFA PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MUZAHIM MOHAMED PHARMD (CEO/OWNER)
(612) 208-1456
Entity
Organization
Contact information
Practice address
1516 E LAKE ST STE 103, MINNEAPOLIS, MN 55407-1997
(612) 208-1456
(612) 208-1457
Mailing address
1516 E LAKE ST # 103, MINNEAPOLIS, MN 55407-1997
(612) 208-1456
(612) 208-1457
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194436212
—
MN
Enumeration date
12/09/2022
Last updated
06/20/2025
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