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Individual

OMOALUSE MEMSOH AMONI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARM D

Contact information

Practice address
7555 W BROADWAY AVE, BROOKLYN PARK, MN 55428-1297
(763) 424-0525
Mailing address
7555 W BROADWAY AVE, BROOKLYN PARK, MN 55428-1297
(763) 424-0525

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
116638
MN

Other

Enumeration date
12/12/2020
Last updated
12/12/2020
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