Individual
DEBRA FARNEY MOODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1504 N PARHAM RD, HENRICO, VA 23229-4621
(804) 270-7050
Mailing address
9184 BREEDERS CUP PL, MECHANICSVILLE, VA 23116-3181
(804) 347-3737
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202009752
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0202009752
PHARMACY LICENCES
VA
Enumeration date
11/19/2020
Last updated
11/19/2020
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