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Individual

DR. KIROLLOS SAMIR HANNA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD, BCPS, BCOP

Contact information

Practice address
14500 99TH AVE N, SUITE 0A030, MAPLE GROVE, MN 55369
(763) 898-1822
Mailing address
60 RAPP FARM BLVD, NORTH OAKS, MN 55127-4201
(615) 481-9433

Taxonomy

Speciality
Code
Description
License number
State
1835X0200X
Oncology Pharmacist
Primary
122718
MN

Other

Enumeration date
03/10/2020
Last updated
11/27/2023
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