Holly J Mousa, PHARMD

NPI #1144827544 in Bandon, Oregon

Provider Information

NPI Number: 1144827544
Entity Type: Individual
Name: Holly J Mousa, PHARMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Oct 8, 2020
Last Updated: Oct 8, 2020

Practice Location

Address: 44 MICHIGAN AVE NE
City: Bandon
State: Oregon
ZIP Code: 97411-9743
Phone: (541) 347-9457

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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