Individual
DR. JONATHAN FARES ISSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1221 W LAKE ST STE 200, MINNEAPOLIS, MN 55408-3565
(612) 824-1036
Mailing address
1221 W LAKE ST STE 200, MINNEAPOLIS, MN 55408-3565
(612) 824-1036
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
127134
MN
Other
Enumeration date
09/26/2025
Last updated
09/26/2025
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