Individual
DR. TANYEL TORRELL MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
1620 HIGHWAY 11 N STE F, PICAYUNE, MS 39466-2070
(769) 242-0673
Mailing address
1620 HIGHWAY 11 N STE F, PICAYUNE, MS 39466-2070
(769) 242-0673
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
T-101280
MS
Other
Enumeration date
01/11/2024
Last updated
02/26/2024
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