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Organization

MOON'S PHARMACY LTC

Active
Other names
Moon's Pharmacy Inc
Organization subpart
No

Provider details

NPI number
Authorized official
CATHERINE M. MARAMAN PHARMD (OWNER)
(229) 382-3711
Entity
Organization

Contact information

Practice address
711 2ND ST W, TIFTON, GA 31794-4201
(229) 256-0139
(229) 256-0140
Mailing address
717 B W 2ND ST, TIFTON, GA 31794
(229) 382-3711
(229) 387-7521

Taxonomy

Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
PHRE008877
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00003855C
GA
01
1152482
NDCP
Enumeration date
08/30/2006
Last updated
03/26/2014
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