Individual
MELISSA L MOULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
632 S 100 W, PAYSON, UT 84651-2864
(801) 465-2591
Mailing address
632 S 100 W, PAYSON, UT 84651-2864
(801) 465-2591
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8346837
UT
Other
Enumeration date
10/29/2020
Last updated
10/29/2020
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