Agassi Mila

NPI #1194337840 in Blaine, Minnesota

Provider Information

NPI Number: 1194337840
Entity Type: Individual
Name: Agassi Mila
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Aug 22, 2020
Last Updated: Aug 22, 2020

Practice Location

Address: 4202 PHEASANT RIDGE DR NE
City: Blaine
State: Minnesota
ZIP Code: 55449-4529
Phone: (651) 255-1498

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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