Individual
ASMAMAW ENYEW MENKIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
200 W LAKE ST, MINNEAPOLIS, MN 55408-3023
(612) 827-8902
Mailing address
1802 TACONITE TRL, EAGAN, MN 55122-2929
(651) 235-3411
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
119080
MN
Other
Enumeration date
11/18/2011
Last updated
11/18/2011
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