Individual
PATRICK AWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4848 COUNTY ROAD 101, MINNETONKA, MN 55345-2635
(952) 401-3814
Mailing address
5800 AMERICAN BLVD W APT 436, BLOOMINGTON, MN 55437-1485
(701) 610-0216
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
124704
MN
Other
Enumeration date
10/19/2020
Last updated
10/19/2020
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