Individual
FATIMA MUSTAFA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10200 6TH AVE N, PLYMOUTH, MN 55441-6399
(763) 545-1916
(763) 545-8056
Mailing address
10200 6TH AVE N, PLYMOUTH, MN 55441-6399
(763) 545-1916
(763) 545-8056
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
121144
MN
Other
Enumeration date
04/08/2011
Last updated
12/09/2020
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