Individual
AMANUEL T WORDOFA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7135 E POINT DOUGLAS RD S, COTTAGE GROVE, MN 55016-3014
(651) 459-7015
Mailing address
7135 E POINT DOUGLAS RD S, COTTAGE GROVE, MN 55016-3076
(651) 459-7015
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
126733
MN
Other
Enumeration date
03/20/2025
Last updated
03/20/2025
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