Individual
MAI LEE MOUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
425 7TH ST NW, CASS LAKE, MN 56633-3360
(218) 335-3220
Mailing address
425 7TH ST NW, CASS LAKE, MN 56633-3360
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
124579
MN
Other
Enumeration date
01/24/2020
Last updated
01/24/2020
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