Individual
MRS. JENNNIFER RENEE MOULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
8515 DOUGLAS AVE, SUITE 16, DES MOINES, IA 50322-2924
(515) 270-0713
(515) 270-2979
Mailing address
5500 CODY DR, WEST DES MOINES, IA 50266-6391
(515) 267-1413
(515) 270-2979
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18248
IA
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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