MEDICARE: DR. TAMIM AHMED SAIDI PHARM.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	116582	MN

General Provider Information

NPI Number	:	1891008694
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TAMIM AHMED SAIDI PHARM.D.

Provider Business Mailing Address
First Line	:	2525 CHICAGO AVE S.
Second Line	:	CHILDREN'S HOSPITAL - PHARMACY
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55404
Country	:	US
Telephone Number	:	763-442-9561
Fax Number	:

Provider Business Practice Location Address
First Line	:	15265 82ND AVE N
Second Line	:
City	:	MAPLE GROVE
State	:	MN
Zip	:	55311-1549
Country	:	US
Telephone Number	:	952-567-3991
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/21/2010
Last Update Date	:	07/21/2010

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