Individual
NASTEHA MOALIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHAMD
Contact information
Practice address
657 E MAIN ST, ANOKA, MN 55303-2528
(763) 427-2287
Mailing address
2525 CORNELIA TRL UNIT I, WOODBURY, MN 55125-1923
(651) 444-0448
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
122700
MN
Other
Enumeration date
08/19/2020
Last updated
08/19/2020
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