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Individual

COURTNEY MOE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
10650 TOEPPERWEIN RD, CONVERSE, TX 78109-2476
(210) 659-8177
(210) 659-9169
Mailing address
10650 TOEPPERWEIN RD, CONVERSE, TX 78109-2476
(210) 659-8177
(210) 659-9169

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
57478
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
57478
PHARMACY LICENSE
TX
Enumeration date
03/06/2017
Last updated
03/06/2017
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