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Dr. Tony Kong Moua, PHD
Pharmacist in White Bear Lake, Minnesota
NPI 1366047235

Tony Kong Moua is a Pharmacist based in Vadnais Heights, MN. Tony Kong Moua practices in White Bear Lake, MN and has the professional credentials of PHD. The NPI Number for Tony Kong Moua is 1366047235 and holds a License No. 124929 (Minnesota).

The current practice location address for Tony Kong Moua is 4800 Highway 61 N, White Bear Lake, MN and can be reached out via phone at 651-762-3864.

Location: 4800 Highway 61 N, White Bear Lake, MN, 55110-5204
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366047235
Provider Name
Tony Kong Moua
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
4800 Highway 61 N, White Bear Lake, MN, 55110-5204
Phone Number
651-762-3864
Fax Number
Provider Enumeration Date
12/01/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4800 Highway 61 N
City
White Bear Lake
State
Minnesota
Zip
55110-2844
Phone Number
651-762-3864
Fax Number
person
Provider Business Mailing Address Details
Address
4800 Highway 61 N
City
White Bear Lake
State
Minnesota
Zip
55110-2844
Phone Number
651-762-3864
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
124929 (Minnesota)
Definition
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, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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