Individual
DR. FELICIA SHUNDRIELL MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D
Contact information
Practice address
619 S MARION AVE, MAILSTOP 119, LAKE CITY, FL 32025-5808
(386) 755-3016
Mailing address
619 S MARION STREET, MAILSTOP 119, LAKE CITY, FL 32025
(386) 755-3016
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
18453
NC
Other
Enumeration date
08/05/2007
Last updated
08/05/2007
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