Mbagwu, John Robert

Mbagwu, John Robert is an individual health care provider with primary practice located at 11000 Optum Cir , Eden Prairie MN 55344-2503. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Mbagwu, John Robert can be contacted via phone (952) 205-0323.

Contact Information

Primary practice address
11000 Optum Cir Eden Prairie MN 55344-2503
Phone: (952) 205-0323
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 121083 Minnesota

Profile Details

NPI number 1316281546
LBN Legal business name Mbagwu, John Robert
Credentials PHARM.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2012
Last updated Aug 21st, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316281546 NPPES
Minnesota Other 121083 PHARMACIST LICENSE

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