Individual
MS. KIMBERLY MOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
600 E LAFAYETTE BLVD, MAIL CODE 1705, DETROIT, MI 48226-2927
(313) 225-7641
Mailing address
600 E LAFAYETTE BLVD, MAIL CODE 1705, DETROIT, MI 48226-2927
(313) 225-7641
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302036487
MI
Other
Enumeration date
05/27/2008
Last updated
09/20/2012
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