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Search › Minnesota › 183500000X

Jason Moua, RPH

NPI 1871274803 · on the registry since 2023

Practice

Address
1920 Buerkle Rd
White Bear Lake, MN 55110
Phone
(651) 777-2350
Fax
(651) 777-2537
Organisation at this address
Supervalu Pharmacies Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Additional practice sites

  • 606 24th Ave S, Minneapolis, MN

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-08-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota