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NPI Code Detail

MEDICARE: HOWARD R MOYER RPH

MEDICARE: HOWARD R MOYER 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
1183500000XPharmacist21382TX

General Provider Information

NPI Number : 1326432550
Entity Type Code : Individual
Provider Name (Legal Business Name) : HOWARD R MOYER RPH
Provider Business Mailing Address
First Line : 105 SUMAC ST
Second Line :
City : LAKE JACKSON
State : TX
Zip : 77566-4562
Country : US
Telephone Number : 979-235-9632
Fax Number :
Provider Business Practice Location Address
First Line : 121 HIGHWAY 332 W
Second Line :
City : LAKE JACKSON
State : TX
Zip : 77566-4028
Country : US
Telephone Number : 979-297-8578
Fax Number : 979-297-5307
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2015
Last Update Date : 03/25/2015

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