Ida Mae Mooney, BS

NPI #1285925529 in Lima, Ohio

Provider Information

NPI Number: 1285925529
Entity Type: Individual
Name: Ida Mae Mooney, BS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: BS
Enumeration Date: Apr 20, 2011
Last Updated: Apr 20, 2011

Practice Location

Address: 506 W MARKET ST
City: Lima
State: Ohio
ZIP Code: 45801-4718
Phone: (419) 222-7797

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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