Deanna Rae Moultrie, PHARMD

NPI #1457952459 in Centerville, Utah

Provider Information

NPI Number: 1457952459
Entity Type: Individual
Name: Deanna Rae Moultrie, PHARMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Nov 5, 2020
Last Updated: Nov 5, 2020

Practice Location

Address: 1268 N 225 W
City: Centerville
State: Utah
ZIP Code: 84014-1104
Phone: (801) 547-7976

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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