Individual
MAHMOUD S. SHAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B. SC PH D
Contact information
Practice address
2387 HIGHWAY 10, SAINT PAUL, MN 55112-4967
(651) 631-0673
Mailing address
1995 SKILLMAN AVE W, ROSEVILLE, MN 55113-5445
(651) 631-0673
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
116530
MN
Other
Enumeration date
12/21/2011
Last updated
12/21/2011
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