Individual
JENNY KAY MOULDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
205 SOUTH GREENVILLE DR. W, GREENVILLE, MI 48838
(616) 754-1875
(616) 754-1705
Mailing address
205 S GREENVILLE WEST DR, GREENVILLE, MI 48838-3500
(616) 754-1875
(616) 754-1705
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302029838
MI
Other
Enumeration date
10/27/2010
Last updated
10/27/2010
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