Individual
MR. BENTON JOHN MOFFETT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
107 ARGUS LN, MOORESVILLE, NC 28117-6977
(704) 696-0447
(704) 696-0453
Mailing address
PO BOX 928, DAVIDSON, NC 28036-0928
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9070
NC
Other
Enumeration date
09/11/2009
Last updated
09/11/2009
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