Provider / Organization | NPI | Date Certified |
---|---|---|
SUSAN S MOON | 1063011450 | 2020-10-17 |
Susan S Moon is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1063011450. Registration indicates Susan S Moon is a provider of services with a specialization in Pharmacy Service Providers, Pharmacist (Pharmacist, ) (Pharmacist, Pharmacy Service Providers)
Entity Type | Individual |
Provider Name | Susan S Moon PHARMD |
Practice Office Address | 2728 E MAIN ST SPRINGFIELD, OH US |
Practice Office Telephone | 9375256770 |
Mailing Address | 240 LIBERTY ST APT 1311 COLUMBUS, OH 432155839 US |
Business Telephone | 2485566810 |
unknown [] | unknown | Health Information Exchange (HIE) |
Code | Practice | License No State |
---|---|---|
183500000X PRIMARY | Pharmacy Service Providers Pharmacist Pharmacist Pharmacist Pharmacy Service Providers | 03439383
OH |