Moon, Janice M

Moon, Janice M is an individual health care provider with primary practice located at 400 Old Smithfield Rd , Goldsboro NC 27530-8464. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Moon, Janice M can be contacted via phone (919) 581-4686.

Contact Information

Primary practice address
400 Old Smithfield Rd Goldsboro NC 27530-8464
Phone: (919) 581-4686
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 7263 North Carolina
Pharmacy Service Providers / Pharmacist 183500000X 20202208075 Virginia

Profile Details

NPI number 1821167701
LBN Legal business name Moon, Janice M
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821167701 NPPES
Virginia Other 0202208075 PHARMACY LICENSE NUMBER
Virginia Other 7263 PHARMACY LICENSE NUMBER

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