Provider Demographics
NPI:1710608757
Name:ADUNA, FIRAOL JEMBERE (PHARM D)
Entity Type:Individual
Prefix:
First Name:FIRAOL
Middle Name:JEMBERE
Last Name:ADUNA
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1551 E 80TH ST APT 27
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55425-1163
Mailing Address - Country:US
Mailing Address - Phone:218-221-9629
Mailing Address - Fax:
Practice Address - Street 1:8936 LYNDALE AVE S
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:MN
Practice Address - Zip Code:55420-2742
Practice Address - Country:US
Practice Address - Phone:952-881-0163
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-08
Last Update Date:2022-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN125816183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist