Individual
LAMA ATAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12480 ABERDEEN ST NE, BLAINE, MN 55449-4721
(763) 862-6596
Mailing address
6527 MONROE ST NE, FRIDLEY, MN 55432-4529
(763) 568-9298
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
126304
MN
Other
Enumeration date
01/04/2024
Last updated
01/04/2024
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