Individual
JEAN YEUNG MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
1020 W BROADWAY AVE, MINNEAPOLIS, MN 55411-2504
(612) 302-8361
(612) 302-8277
Mailing address
15848 50TH AVE N, PLYMOUTH, MN 55446-3471
(612) 730-7212
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
117897-3
MN
Other
Enumeration date
08/11/2005
Last updated
07/08/2007
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