NPI 1093322414

Khalid Abdulmalik Mohamed

Practitioner Pharmacist Coon Rapids, MN

Practice location

Address: 2860 Coon Rapids Blvd NW, Coon Rapids, MN 55433-3427
Phone: (763) 421-1784
Mailing address: 11301 Chisholm Cir NE, Blaine, MN 55449-4553

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 123134 (MN)

Other Pharmacist providers in Minnesota →

Registry record

NPI: 1093322414
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Sep 2020
Record last updated: 29 Sep 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.