Individual
MARIAM MARZOUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SOLE
Contact information
Practice address
4241 JOHNNY CAKE RIDGE RD, EAGAN, MN 55122-2235
(651) 688-7041
Mailing address
4241 JOHNNY CAKE RIDGE RD, EAGAN, MN 55122-2235
(651) 688-7041
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
124082
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
124082
PHARMACIST
MN
Enumeration date
10/05/2022
Last updated
10/05/2022
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