IndividualActive
Angie Mohamed, PHARMD
NPI 1235808304 · Pharmacotherapy Pharmacist · Blaine, MN
Provider details
- NPI number
- 1235808304
- Entity type
- Individual
- Primary specialty
- Pharmacotherapy PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 124403 (MN)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
300 122nd Ave Ne
Blaine, MN 55434-2650
Phone: (612) 229-5559
Approximate (ZIP-level) locationGet directions
Mailing address
300 122nd Ave Ne
Blaine, MN 55434-2650
Registry dates
- Enumerated
- 2021-09-10
- Last updated
- 2021-09-10
- Certified
- 2021-09-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.