Provider Demographics
NPI:1326652975
Name:NAJIB, MOHAMMAD BASSAM (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MOHAMMAD
Middle Name:BASSAM
Last Name:NAJIB
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1274 TOWN CENTRE DR
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55123-1066
Mailing Address - Country:US
Mailing Address - Phone:651-452-5320
Mailing Address - Fax:
Practice Address - Street 1:1274 TOWN CENTRE DR
Practice Address - Street 2:
Practice Address - City:EAGAN
Practice Address - State:MN
Practice Address - Zip Code:55123-1066
Practice Address - Country:US
Practice Address - Phone:651-452-5320
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-01
Last Update Date:2020-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN123447183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist