Individual
SEBASTIAN PATRICK MOONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
520 S EAGLE RD, MERIDIAN, ID 83642-6351
(208) 706-5000
Mailing address
2035 W ECHETA RD, GILLETTE, WY 82716-9239
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3481626
ID
Other
Enumeration date
07/31/2026
Last updated
07/31/2026
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