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General NPI Number Information
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NPI Number | 1184585671
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Entity Type | Organization
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Legal Business Name | COSMO CARE LLC
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Dates
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Enumeration Date | 11/24/2025
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 2218 E LAKE ST STE C
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City | MINNEAPOLIS
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State | MN
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Zip | 55407-5095
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Country | US
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Telephone | 612-644-3014
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Fax |
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Provider Business Mailing Address
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Address Line | 2218 E LAKE ST STE C
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City | MINNEAPOLIS
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State | MN
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Zip | 55407-5095
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Country | US
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Telephone | 612-644-3014
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Fax |
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Authorized Official
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Title or Position | PHARMACY MANAGER
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Name | DR. FARHIA ALI ARAB
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Credential | PHARMD
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Telephone | 612-644-3014
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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