Jeremy Randall Moffett
Jeremy Randall Moffett is a Pharmacist in Shreveport, Louisiana. Licensed in Louisiana. Registered with an NPI since 2011.
- Licensed in
- LA
- In the registry since
- 2011
Practice location Address checks out
7110 Youree DrShreveport, LA 71105-5107
Phone: (318) 798-7860
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pharmacist (primary) | Taxonomy 183500000X · Licence 16563 (LA) |
|---|
Record details
| NPI number | 1609161256 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 11, 2011 |
| Last updated in NPPES | June 11, 2011 |
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