Individual
MR. DANIEL J MOYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1244 WISCONSIN AVE, RACINE, WI 53403-1987
(262) 687-2150
(262) 687-5500
Mailing address
1244 WISCONSIN AVE, RACINE, WI 53403-1987
(262) 687-2150
(262) 687-5500
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12594-040
WI
Other
Enumeration date
10/17/2007
Last updated
10/17/2007
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