Individual
VIVIAN LEWIS ELDHEBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
810 MARYLAND AVE E, SAINT PAUL, MN 55106-2511
(651) 774-1005
Mailing address
810 MARYLAND AVE E, SAINT PAUL, MN 55106-2511
(651) 774-1005
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
124165
MN
Other
Enumeration date
03/06/2020
Last updated
03/06/2020
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