Individual
ALI MAHAMUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
681 CENTRAL AVE W, SAINT PAUL, MN 55104-4821
(612) 735-7788
Mailing address
681 CENTRAL AVE W, SAINT PAUL, MN 55104
(612) 735-7788
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
118622
MN
Other
Enumeration date
12/08/2011
Last updated
12/08/2011
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