Individual
MRS. TIFFANY N. MOREIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
VA MEDICAL CENTER -OUTPATIENT PHARMACY, 1500 E. WOODROW WILSON DR, JACKSON, MS 39216-5199
(601) 364-1557
(601) 364-1548
Mailing address
171 N. MAPLE ST, RIDGELAND, MS 39157-2308
(601) 364-1555
(601) 364-1548
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
T-08168
MS
Other
Enumeration date
09/27/2006
Last updated
07/08/2007
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