Individual
LAURA MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4455 EDISON LAKES PKWY # 100, MISHAWAKA, IN 46545-1414
(574) 231-6199
Mailing address
4455 EDISON LAKES PKWY # 100, MISHAWAKA, IN 46545-1414
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26026257A
IN
Other
Enumeration date
08/04/2026
Last updated
08/04/2026
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