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Individual

MISS ALYSSA M MOON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARM.D.

Contact information

Practice address
11906 LIVINGSTON RD, FORT WASHINGTON, MD 20744-4286
(724) 554-9691
Mailing address
3485 PROMENADE PL APT 203, WALDORF, MD 20603-7282
(724) 554-9691

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22560
MD

Other

Enumeration date
08/25/2014
Last updated
08/25/2014
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