Moon, Ray C.
Moon, Ray C. is an individual health care provider with primary practice located at 1913 Addison Ave E , Twin Falls ID 83301-5305. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Moon, Ray C. can be contacted via phone (208) 734-4581.Contact Information
Primary practice address
1913 Addison Ave E
Twin Falls ID 83301-5305
Phone: (208) 734-4581
Fax: (208) 736-7144
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | P4261 | Idaho |
Profile Details
| NPI number | 1265729057 |
|---|---|
| LBN Legal business name | Moon, Ray C. |
| Credentials | RPH |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2011 |
| Last updated | Jun 30th, 2011 - about 15 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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