Individual
DR. AMANDA MOULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM, D.
Contact information
Practice address
3850 W MAIN ST, DOTHAN, AL 36305-1045
(334) 794-6112
Mailing address
3850 W MAIN ST, DOTHAN, AL 36305-1045
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14335
AL
183500000X
Pharmacist
23513
GA
183500000X
Pharmacist
42288
FL
Other
Enumeration date
02/09/2015
Last updated
02/09/2015
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