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NPI Code Detail

MEDICARE: HOLLY ELIZABETH MOSER RPH

MEDICARE: HOLLY ELIZABETH MOSER RPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist29395TX

General Provider Information

NPI Number : 1720315831
Entity Type Code : Individual
Provider Name (Legal Business Name) : HOLLY ELIZABETH MOSER RPH
Provider Business Mailing Address
First Line : 3885 DOWLEN RD
Second Line :
City : BEAUMONT
State : TX
Zip : 77706-6604
Country : US
Telephone Number : 409-924-7570
Fax Number : 409-924-7595
Provider Business Practice Location Address
First Line : 3885 DOWLEN RD
Second Line :
City : BEAUMONT
State : TX
Zip : 77706-6604
Country : US
Telephone Number : 409-924-7570
Fax Number : 409-924-7595
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/10/2009
Last Update Date : 11/10/2009

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Directions to “ HOLLY ELIZABETH MOSER RPH” Practice Location

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