Organization
LAKE CARMEL PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AHMED MUSSA (OWNER)
(612) 814-3271
Entity
Organization
Contact information
Practice address
211 W LAKE AVE ST., MINNEAPOLIS, MN 55406
(612) 814-3271
Mailing address
2740 MINNEHAHA AVE STE 130-32, MINNEAPOLIS, MN 55406-1542
(612) 814-3271
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
05/10/2023
Last updated
05/10/2023
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