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Individual

ANGELA MORELAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
21738 HARDY OAK BLVD STE 105, SAN ANTONIO, TX 78258-4864
(888) 999-5415
(888) 999-2594
Mailing address
5110 OLYMPIA CT, SUFFOLK, VA 23435-3300
(757) 967-0648
(757) 967-0648

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202208083
VA

Other

Enumeration date
07/08/2012
Last updated
07/08/2012
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