Individual
MARK ANTHONY MOYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
942 VALLEY CREEK DR, FARMINGTON, MO 63640-1968
(573) 664-5202
Mailing address
3107 RIDGEWOOD HILLS DR, FARMINGTON, MO 63640-7758
(573) 760-2454
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
043068
MO
Other
Enumeration date
11/02/2015
Last updated
10/17/2025
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