Individual
BRANDON HATAYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4100 W BROADWAY AVE, ROBBINSDALE, MN 55422
(763) 537-9487
(763) 537-0008
Mailing address
4100 W BROADWAY AVE, ROBBINSDALE, MN 55422-1809
(763) 537-9487
(763) 537-0008
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
125001
MN
Other
Enumeration date
01/31/2021
Last updated
05/16/2023
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