Individual
KAVEKE MUALUKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
6800 BASS LAKE RD, CRYSTAL, MN 55428-3935
(763) 533-5804
Mailing address
6800 BASS LAKE RD, CRYSTAL, MN 55428-3935
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
119852
MN
183500000X
Pharmacist
15711-040
WI
Other
Enumeration date
11/15/2011
Last updated
11/15/2011
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