Individual
KELSEY MOODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
211 S DIVISION ST, BELLAIRE, MI 49615-9550
(231) 533-5534
(231) 533-5725
Mailing address
PO BOX 918, BELLAIRE, MI 49615-0918
(231) 533-5534
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302041999
MI
Other
Enumeration date
12/16/2022
Last updated
12/16/2022
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