Individual
DARLA ANNE MOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1405 E TYLER ST, ATHENS, TX 75751-4613
(903) 677-2501
Mailing address
212 SUNSET TER, AMARILLO, TX 79106-6331
(903) 681-6012
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21985
TX
Other
Enumeration date
11/03/2020
Last updated
11/03/2020
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