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Individual

JANICE M MOON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
400 OLD SMITHFIELD RD, GOLDSBORO, NC 27530-8464
(919) 581-4686
Mailing address
PO BOX 1021, GOLDSBORO, NC 27533-1021

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
20202208075
VA
183500000X
Pharmacist
Primary
7263
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0202208075
PHARMACY LICENSE NUMBER
VA
01
7263
PHARMACY LICENSE NUMBER
NC
Enumeration date
11/07/2006
Last updated
07/08/2007
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