Individual
MARJAN SARAH KHAZAELI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D., BCACP
Contact information
Practice address
480 HIGHWAY 96 E, VADNAIS HEIGHTS, MN 55127-2557
(651) 326-5900
Mailing address
401 S 1ST ST UNIT 506, MINNEAPOLIS, MN 55401-2563
(651) 402-3643
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
121326
MN
Other
Enumeration date
07/19/2013
Last updated
11/04/2020
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