Individual
HADEEL OMAR
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
10002 ABLE ST NE, BLAINE, MN 55434-4527
(563) 499-4616
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
123519
MN
Other
Enumeration date
09/02/2020
Last updated
09/02/2020
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