Ray C. Moon, RPH Valid NPI
Individual provider · Pharmacist · Twin Falls, ID
- NPI
- 1265729057
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- P4261 (ID)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2011-06-30
- Last updated
- 2011-06-30
Practice location
1913 Addison Ave E
Twin Falls, ID 83301-5305
(208) 734-4581