Individual
MICHELLE APRIL MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1025 N QUINCY AVE STE 2, OTTUMWA, IA 52501-3874
(641) 683-4483
Mailing address
2423 NORTHGATE ST APT 23, OTTUMWA, IA 52501-1174
(319) 450-9226
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
25167
IA
Other
Enumeration date
09/23/2024
Last updated
09/23/2024
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