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NPI Code Detail

MEDICARE: MRS. HELEN MAHAIRAS MOFFAT RPH

MEDICARE:  MRS. HELEN MAHAIRAS MOFFAT  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
1183500000XPharmacist12204NC

General Provider Information

NPI Number : 1114273935
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. HELEN MAHAIRAS MOFFAT RPH
Provider Business Mailing Address
First Line : 2334 SOUTH BLVD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28203-5008
Country : US
Telephone Number : 704-523-8608
Fax Number : 704-523-8619
Provider Business Practice Location Address
First Line : 2334 SOUTH BLVD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28203-5008
Country : US
Telephone Number : 704-523-8608
Fax Number : 704-523-8619
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/30/2012
Last Update Date : 07/30/2012

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Directions to “ MRS. HELEN MAHAIRAS MOFFAT RPH” Practice Location

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