Individual
MRS. KATHERINE MAZE BROOKIE MOFFETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
16865 CLOVER RD, NOBLESVILLE, IN 46060-3640
(317) 773-1065
(317) 773-4414
Mailing address
340 W SMOKEY ROW RD, CARMEL, IN 46032-1304
(317) 946-4562
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26022077A
IN
Other
Enumeration date
07/03/2018
Last updated
07/03/2018
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