Provider Demographics
NPI:1639896780
Name:MUAH, SCHOLASTICA KAGA N/A
Entity Type:Individual
Prefix:
First Name:SCHOLASTICA KAGA
Middle Name:N/A
Last Name:MUAH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4611 MAINE AVE SE
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55904-6929
Mailing Address - Country:US
Mailing Address - Phone:913-206-7329
Mailing Address - Fax:
Practice Address - Street 1:4611 MAINE AVE SE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55904-6929
Practice Address - Country:US
Practice Address - Phone:913-206-7329
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-19
Last Update Date:2022-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN125762183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist