Individual
LORETTA MOATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1 MEDICAL CENTER BLVD, COOKEVILLE, TN 38501-4294
(208) 691-0357
Mailing address
516 BOWERS RD, COOKEVILLE, TN 38506-9218
(208) 691-0357
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
44156
TN
Other
Enumeration date
11/27/2021
Last updated
11/27/2021
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