Moen, Alyssa Jo

Moen, Alyssa Jo is an individual health care provider with primary practice located at 3883 74Th Ave Ne , Fort Totten ND 58335. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Moen, Alyssa Jo can be contacted via phone (701) 766-1612.

Contact Information

Primary practice address
3883 74Th Ave Ne Fort Totten ND 58335
Phone: (701) 766-1612
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 118800 Minnesota
Pharmacy Service Providers / Pharmacist 183500000X RPH5025 North Dakota

Profile Details

NPI number 1255686093
LBN Legal business name Moen, Alyssa Jo
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2012
Last updated Jul 2nd, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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