Individual
MR. JOHN IRVIN MOURAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1506 ELIZABETH PIKE, MINERAL WELLS, WV 26150
(304) 489-9086
(304) 489-2687
Mailing address
112 HOLIDAY DR, MARIETTA, OH 45750-9479
(740) 376-9443
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
03-2-17873
OH
183500000X
Pharmacist
Primary
RP0005422
WV
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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