Individual
AHMED ELAZAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2525 CHICAGO AVE, MINNEAPOLIS, MN 55404-4518
(612) 813-7206
Mailing address
3206 BRYANT AVE S APT 2, MINNEAPOLIS, MN 55408-3883
(215) 452-9982
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
124794
MN
Other
Enumeration date
09/22/2020
Last updated
09/22/2020
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