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General NPI Number Information
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NPI Number | 1740137660
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Entity Type | Organization
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Legal Business Name | AFDAHL PHARMACY PLLC
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Dates
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Enumeration Date | 03/11/2026
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Last Update Date | 03/11/2026
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Provider Practice Location Address
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Address Line | 4110 CENTRAL AVE NE STE 206
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City | COLUMBIA HEIGHTS
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State | MN
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Zip | 55421-2964
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Country | US
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Telephone | 763-762-8983
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Fax | 763-207-0801
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Provider Business Mailing Address
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Address Line | 4110 CENTRAL AVE NE STE 206
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City | COLUMBIA HEIGHTS
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State | MN
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Zip | 55421-2964
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Country | US
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Telephone | 763-762-8983
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Fax | 763-207-0801
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | FAHIMA HASSAN
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Credential |
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Telephone | 763-762-8983
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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