Individual
MRS. JANE ELIZABETH MOODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
35 S JOHNSON ST, SUITE 1E, PONTIAC, MI 48341-1658
(248) 334-9582
(248) 334-1908
Mailing address
35 S JOHNSON ST, SUITE 1E, PONTIAC, MI 48341-1658
(248) 334-9582
(248) 334-1908
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302027506
MI
Other
Enumeration date
05/24/2008
Last updated
05/24/2008
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