Individual
DR. JACQUELINE IRENE MOYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, BCPS
Contact information
Practice address
3100 SCHOFIELD RD, FORT SAM HOUSTON, TX 78234-7577
(210) 916-3000
Mailing address
3100 SCHOFIELD RD BLDG 1179, FORT SAM HOUSTON, TX 78234-7577
(210) 808-0236
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
65068
TX
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
65068
TX
Other
Enumeration date
07/30/2020
Last updated
05/21/2021
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