Individual
MR. PAUL RAY MOYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
600 W KARSCH BLVD, FARMINGTON, MO 63640-3342
(573) 747-1591
Mailing address
HC 66 BOX 14, MARQUAND, MO 63655-9501
(573) 760-6636
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
041982
MO
Other
Enumeration date
10/21/2011
Last updated
10/21/2011
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