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NPI Code Detail

MEDICARE: KONGYENG SEAVER MOUA PHARMD

MEDICARE: KONGYENG SEAVER MOUA 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
1183500000XPharmacist5302413853MI

General Provider Information

NPI Number : 1689346447
Entity Type Code : Individual
Provider Name (Legal Business Name) : KONGYENG SEAVER MOUA PHARMD
Provider Business Mailing Address
First Line : 2050 S ROCHESTER RD
Second Line :
City : ROCHESTER HILLS
State : MI
Zip : 48307-3856
Country : US
Telephone Number : 248-652-4229
Fax Number :
Provider Business Practice Location Address
First Line : 2050 S ROCHESTER RD
Second Line :
City : ROCHESTER HILLS
State : MI
Zip : 48307-3856
Country : US
Telephone Number : 248-601-1584
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2021
Last Update Date : 12/26/2022

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Directions to “ KONGYENG SEAVER MOUA PHARMD” Practice Location

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