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General NPI Number Information
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NPI Number | 1649977430
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Entity Type | Organization
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Legal Business Name | UPTOWN PHARMACY INC
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Dates
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Enumeration Date | 02/13/2023
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Last Update Date | 02/13/2023
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Provider Practice Location Address
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Address Line | 200 W LAKE ST STE 126
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City | MINNEAPOLIS
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State | MN
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Zip | 55408-3023
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Country | US
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Telephone | 816-377-5388
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Fax |
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Provider Business Mailing Address
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Address Line | 9541 YUKON AVE S
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City | BLOOMINGTON
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State | MN
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Zip | 55438-1651
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Country | US
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Telephone | 816-377-5388
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. AHMED DAYIB
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Credential | PHARMD
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Telephone | 816-377-5388
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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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