Individual
JOAN MACKENZIE MOAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
416 S MAIN ST, ALLISON, IA 50602-0515
(319) 267-2626
Mailing address
416 SOUTH MAIN ST, PO BOX 515, ALLISON, IA 50602-0515
(319) 267-2626
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17364
IA
Other
Enumeration date
04/20/2007
Last updated
07/08/2007
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