Individual
KONG KHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1575 BEAM AVE, MAPLEWOOD, MN 55109-1126
(651) 232-7200
Mailing address
1042 CANNON AVE, SHOREVIEW, MN 55126-8131
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
123810
MN
Other
Enumeration date
05/12/2020
Last updated
06/03/2023
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