Individual provider · Type 1 NPI

Tony Kong Moua, PhD

Pharmacist · White Bear Lake, MN

NPI number 1366047235 Active

Practice location

4800 Highway 61 N
White Bear Lake, MN 55110-2844

Call (651) 762-3864 Map

Mailing address

3480 English St
Vadnais Heights, MN 55110-5204

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X124929 (MN)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1366047235

Tony Kong Moua, PhD's National Provider Identifier is 1366047235, issued on Dec 1, 2020. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in White Bear Lake, MN. The record was last updated on Dec 1, 2020.