Organization
NICOLLET PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEEQ YUSSUF MOHAMMED PHARMD/RPH (PHARMACIST IN CHARGE (PIC))
(612) 644-8142
Entity
Organization
Contact information
Practice address
2805 NICOLLET AVE, MINNEAPOLIS, MN 55408-2329
(612) 644-8142
Mailing address
2805 NICOLLET AVE, MINNEAPOLIS, MN 55408-2329
(612) 644-8142
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
03/20/2022
Last updated
03/20/2022
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