Healthcare Provider Details

I. General information

NPI: 1184585671
Provider Name (Legal Business Name): COSMO CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/24/2025
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2218 E LAKE ST STE C
MINNEAPOLIS MN
55407-5095
US

IV. Provider business mailing address

2218 E LAKE ST STE C
MINNEAPOLIS MN
55407-5095
US

V. Phone/Fax

Practice location:
  • Phone: 612-644-3014
  • Fax:
Mailing address:
  • Phone: 612-644-3014
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DR. FARHIA ALI ARAB
Title or Position: PHARMACY MANAGER
Credential: PHARMD
Phone: 612-644-3014