Provider Demographics
NPI:1134434368
Name:BELL, MONIKA MAY (PHARMD)
Entity type:Individual
Prefix:
First Name:MONIKA
Middle Name:MAY
Last Name:BELL
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 1:16655 90TH AVE N
Mailing Address - Street 2:
Mailing Address - City:MAPLE GROVE
Mailing Address - State:MN
Mailing Address - Zip Code:55311-1559
Mailing Address - Country:US
Mailing Address - Phone:763-416-0335
Mailing Address - Fax:
Practice Address - Street 1:7555 W BROADWAY AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN PARK
Practice Address - State:MN
Practice Address - Zip Code:55428-1297
Practice Address - Country:US
Practice Address - Phone:763-424-0525
Practice Address - Fax:763-424-3169
Is Sole Proprietor?:No
Enumeration Date:2010-08-12
Last Update Date:2010-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN117233183500000X
ND4798183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist