Individual provider · Type 1 NPI

Kor Moua

Pharmacist · Fitchburg, MA

NPI number 1700149754 Active

Practice location

140 Whalon St
Fitchburg, MA 01420-7158

Mailing address

44 Highland Ave
Fitchburg, MA 01420-7815

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XPH233710 (MA)

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 1700149754

Kor Moua's National Provider Identifier is 1700149754, issued on Jun 23, 2012. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Fitchburg, MA. The record was last updated on Jun 23, 2012.