Individual
BETTINA MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
11228 OLD HWY 63 SOUTH, LUCEDALE, MS 39452-4636
(601) 947-4287
Mailing address
11228 OLD HWY 63 SOUTH, LUCEDALE, MS 39452-4636
(601) 947-4287
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14000
MS
Other
Enumeration date
09/10/2015
Last updated
09/10/2015
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