Individual
DR. LORENA MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM. D.
Contact information
Practice address
4607 LINDBERGH DR, JACKSON, MS 39209-3855
(601) 353-6142
Mailing address
343 HIGHLEADON CT, MADISON, MS 39110-7475
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E8796
MS
Other
Enumeration date
01/22/2012
Last updated
01/22/2012
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