NPI 1043786445

Carolyn Mai der Xiong, PHARMD

Practitioner Pharmacist Coon Rapids, MN

Practice location

Address: 1852 131st Ln NW, Coon Rapids, MN 55448-1385
Phone: (763) 754-6732
Fax: (763) 754-6179

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 123025 (MN)

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Registry record

NPI: 1043786445
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Oct 2018
Record last updated: 23 Oct 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.