Organization
CENTRAL CARE PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SAJEDA ABDO (PHARMACIST IN CHARGE)
(765) 409-7801
Entity
Organization
Contact information
Practice address
2336 CENTRAL AVE NE, MINNEAPOLIS, MN 55418-3710
(612) 338-3005
Mailing address
12526 ZUMBROTA STREET NE, BLAINE, MN 55449
(765) 409-7801
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
264841
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427471895
—
MN
Enumeration date
01/21/2014
Last updated
11/10/2015
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