IndividualActive
Agassi Mila
NPI 1194337840 · Pharmacist · Blaine, MN
Provider details
- NPI number
- 1194337840
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 124437 (MN)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
4202 Pheasant Ridge Dr Ne
Blaine, MN 55449-4529
Phone: (651) 255-1498
Approximate (ZIP-level) locationGet directions
Mailing address
4202 Pheasant Ridge Dr Ne
Blaine, MN 55449-4529
Registry dates
- Enumerated
- 2020-08-22
- Last updated
- 2020-08-22
- Certified
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.