MEDICARE: LUEXA YANG PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	120537	MN

General Provider Information

NPI Number	:	1205346905
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LUEXA YANG PHARMD

Provider Business Mailing Address
First Line	:	10501 FLORIDA AVE S
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55438-2553
Country	:	US
Telephone Number	:	952-854-1190
Fax Number	:	952-854-1082

Provider Business Practice Location Address
First Line	:	10501 FLORIDA AVE S
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55438-2553
Country	:	US
Telephone Number	:	952-854-1190
Fax Number	:	952-854-1082

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/07/2017
Last Update Date	:	10/07/2017

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Directions to “ LUEXA YANG PHARMD” Practice Location

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