Organization
BANADIR PHARMACY LLC
Active
Other names
Banadir Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
EDRIS KOSAR (OWNER/PHARMACIST IN CHARGE)
(267) 575-1293
Entity
Organization
Contact information
Practice address
1 W LAKE ST STE 195, MINNEAPOLIS, MN 55408-3362
(612) 825-1669
(612) 825-1667
Mailing address
1 W LAKE ST STE 195, MINNEAPOLIS, MN 55408-3362
(612) 825-1669
(612) 825-1667
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
263804
MN
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2133164
PK
—
Enumeration date
12/20/2011
Last updated
05/01/2017
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up