Organization
AFYA PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDRIS KOSAR PHARM.D (STAFF PHARMACIST)
(267) 575-1293
Entity
Organization
Contact information
Practice address
3407 3RD ST N, ST CLOUD, MN 56303
(267) 575-1293
Mailing address
3850 KEYES ST, COLUMBIA HEIGHTS, MN 55421-5033
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
10/14/2014
Last updated
10/14/2014
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