Provider / Organization | NPI | Date Certified |
---|---|---|
NECIBU OMER BORU | 1982355483 | 2022-01-16 |
Necibu Omer Boru is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1982355483. Registration indicates Necibu Omer Boru is a provider of services with a specialization in Pharmacy Service Providers, Pharmacist (Pharmacist, ) (Pharmacist, Pharmacy Service Providers)
Entity Type | Individual |
Provider Name | Necibu Omer Boru |
Practice Office Address | 2530 CHICAGO AVE MINNEAPOLIS, MN US |
Practice Office Telephone | 6128135922 |
Mailing Address | 5901 LINCOLN DR EDINA, MN 554361611 US |
Business Telephone | 9529925292 |
Business Fax | 9529926905 |
Code | Practice | License No State |
---|---|---|
183500000X PRIMARY | Pharmacy Service Providers Pharmacist Pharmacist Pharmacist Pharmacy Service Providers | 122524
MN |