Individual
ELIZABETH MOUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
624 E FRONT AVE, SPOKANE, WA 99202-2139
(509) 626-9900
(509) 227-7070
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(866) 747-2455
(509) 227-7070
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
IR61252618
WA
183500000X
Pharmacist
Primary
PH61422626
WA
183500000X
Pharmacist
PI-0013345
OR
Other
Enumeration date
03/12/2022
Last updated
06/26/2023
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