Provider Demographics
NPI:1518243138
Name:MBIYU, HELEN MAGIRI (PHARMD)
Entity Type:Individual
Prefix:MISS
First Name:HELEN
Middle Name:MAGIRI
Last Name:MBIYU
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5354 ELLIOT AVE
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55417-1742
Mailing Address - Country:US
Mailing Address - Phone:612-385-8153
Mailing Address - Fax:
Practice Address - Street 1:5354 ELLIOT AVE
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55417-1742
Practice Address - Country:US
Practice Address - Phone:612-385-8153
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-27
Last Update Date:2011-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN117612183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist