Individual
RANDY LEE MOAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
416 S. MAIN ST., ALLISON, IA 50602-0515
(319) 267-2626
(319) 267-2515
Mailing address
416 S. MAIN ST., BOX 515, ALLISON, IA 50602-0515
(319) 267-2626
(319) 267-2515
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15529
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15529
PHARMACIST LISCENSE
IA
Enumeration date
04/18/2007
Last updated
07/08/2007
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