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Individual

TERRI LYNN MOYE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPHT

Contact information

Practice address
3955 PHELAN BLVD, BEAUMONT, TX 77707-2223
(409) 833-1298
(409) 838-4342
Mailing address
3955 PHELAN BLVD, BEAUMONT, TX 77707-2223
(409) 833-1298
(409) 838-4342

Taxonomy

Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
114555
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
114555
STATE BOARD REGISTRATION
TX
Enumeration date
08/26/2019
Last updated
08/26/2019
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