Individual
MICHAEL WEBB MOULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
300 FAULKNER DR, BAY MINETTE, AL 36507-2771
(251) 937-9746
Mailing address
9600 BELLA DR, DAPHNE, AL 36526-6254
(251) 990-7988
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11699
AL
Other
Enumeration date
09/27/2006
Last updated
07/08/2007
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