Individual
MR. ROBERT C MOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
7560 160TH ST W, LAKEVILLE, MN 55044-8348
(952) 432-1476
(952) 432-1476
Mailing address
7560 160TH ST W, LAKEVILLE, MN 55044-8348
(952) 432-1476
(952) 432-1476
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
111162
MN
Other
Enumeration date
01/05/2012
Last updated
01/05/2012
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