Individual
MR. MILES SOICHI MORIMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
HIGHWAY 163, BLDG KA-2010, KAYENTA, AZ 86033-2397
(928) 697-4000
Mailing address
PO BOX 2397, KAYENTA, AZ 86033-2397
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17691
NV
Other
Enumeration date
09/17/2009
Last updated
07/17/2013
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