Individual
MR. RAY C. MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1913 ADDISON AVE E, TWIN FALLS, ID 83301-5305
(208) 734-4581
(208) 736-7144
Mailing address
1913 ADDISON AVE E, TWIN FALLS, ID 83301-5305
(208) 734-4581
(208) 736-7144
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P4261
ID
Other
Enumeration date
06/30/2011
Last updated
06/30/2011
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