Individual
CHEABA FILLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5537 W BROADWAY AVE, MINNEAPOLIS, MN 55428-3507
(310) 600-2480
Mailing address
7848 DUPONT AVE N, BROOKLYN PARK, MN 55444-2156
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
126428
MN
Other
Enumeration date
11/13/2024
Last updated
11/13/2024
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