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Organization
MORAN AVIATION LLC
Active
Organization
MORAN AVIATION LLC
Active
Other names
Vaccine Mobile
Organization subpart
No
Provider details
NPI number
Authorized official
LANCE J MORAN (MEMBER)
(608) 848-5956
Entity
Organization
Contact information
Practice address
1602 HIDDEN HILL DR, VERONA, WI 53593-7970
(608) 848-5956
(608) 848-5656
Mailing address
1602 HIDDEN HILL DR, VERONA, WI 53593-7970
(608) 848-5956
(608) 848-5656
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11410
PHARMACIST
WI
Enumeration date
05/11/2020
Last updated
01/05/2021
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