Individual
BASMA A ABD EL-RAHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1739 LEXINGTON AVE N, ROSEVILLE, MN 55113-6522
(651) 488-5516
(651) 487-0990
Mailing address
1829 PRIOR AVE N, FALCON HEIGHTS, MN 55113-5545
(651) 645-6745
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
MN117218
MN
Other
Enumeration date
10/23/2011
Last updated
10/23/2011
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