Provider Demographics
NPI:1992440663
Name:MOYO, HILDRED MILDRED (D PHARM)
Entity type:Individual
Prefix:
First Name:HILDRED
Middle Name:MILDRED
Last Name:MOYO
Suffix:
Gender:F
Credentials:D PHARM
Other - Prefix:DR
Other - First Name:HILDRED
Other - Middle Name:
Other - Last Name:MOYO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:5249 CARROLL WAREHIME RD
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:MD
Mailing Address - Zip Code:21102-3115
Mailing Address - Country:US
Mailing Address - Phone:443-707-0850
Mailing Address - Fax:
Practice Address - Street 1:949 LINCOLN WAY E
Practice Address - Street 2:
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17201-2817
Practice Address - Country:US
Practice Address - Phone:717-261-1703
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-28
Last Update Date:2022-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP453833183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist