Individual
MAITE MOYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2454 JUPITER RD, PLANO, TX 75074-4904
(972) 578-8607
Mailing address
14155 DALLAS PKWY APT 1325, DALLAS, TX 75254-4447
(915) 227-0040
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
04/26/2024
Last updated
04/26/2024
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