MR. Michael Eugene Moffett, RPH
NPI #1558541466 in Diberville, Mississippi
Provider Information
- NPI Number
- 1558541466
- Entity Type
- Individual
- Name
- MR. Michael Eugene Moffett, RPH
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pharmacist
- Credential
- RPH
- Enumeration Date
- Nov 7, 2007
- Last Updated
- Nov 7, 2007
Practice Location
- Address
- 3615 SANGANI BLVD
- City
- Diberville
- State
- Mississippi
- ZIP Code
- 39540-8770
- Phone
- (228) 396-4617
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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