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1942816236
PHILIP PATRICK MOFFETT
POLACCA, AZ
NPI
1942816236
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: ID P8525)
Enumeration Date
2020-09-22
Last Update Date
2020-09-22
Business Address
PHILIP PATRICK MOFFETT PharmD
HIGHWAY 264 MILE MARKER 388
POLACCA, AZ 86042
Phone number: 928-737-6000
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Mailing Address
PHILIP PATRICK MOFFETT PharmD
PO BOX 436
POLACCA, AZ 86042-0436
Phone number: 208-313-4904
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