Moon, Sandie

Moon, Sandie is an sole proprietor health care provider with primary practice located at 1405 E Tyler St , Athens TX 75751-4613. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Moon, Sandie can be contacted via phone (903) 677-2501.

Contact Information

Primary practice address
1405 E Tyler St Athens TX 75751-4613
Fax: (903) 677-0714
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 35052 Texas

Profile Details

NPI number 1669073458
LBN Legal business name Moon, Sandie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 6th, 2020
Last updated Nov 6th, 2020 - about 4 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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