NPI 1013631654
Moffettrx LLC
Practice location
- Address
- 2000 24th Ave, Meridian, MS 39301-3120
- Phone
- (601) 693-0033
- Fax
- (601) 693-0062
Authorised official
- Name
- Richard Andrew Moffett
- Title
- Owner/Pic
- Phone
- (601) 693-0033
Registered specialties
Long Term Care Pharmacy
Primary
Registry record
- NPI
- 1013631654
- Entity type
- Organization
- NPI issued
- 27 Sep 2022
- Record last updated
- 27 Sep 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.