Organization
TRIA PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AHMEDFOWZ MOHAMED OSMAN RPH (PHARMACIST/OWNER)
(952) 836-5866
Entity
Organization
Contact information
Practice address
7687 WASHINTON AVE S, EDINA, MN 55439
(952) 836-5866
Mailing address
7687 WASHINTON AVE S, EDINA, MN 55439
(952) 836-5866
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
10/24/2023
Last updated
10/24/2023
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