IndividualActive
Bettina Moran, PHARMD
NPI 1407224207 · Pharmacist · Lucedale, MS
Provider details
- NPI number
- 1407224207
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Female
- Sole proprietor
- No
- License
- 14000 (MS)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
11228 Old Hwy 63 South
Lucedale, MS 39452-4636
Phone: (601) 947-4287
Approximate (ZIP-level) locationGet directions
Mailing address
11228 Old Hwy 63 South
Lucedale, MS 39452-4636
Registry dates
- Enumerated
- 2015-09-10
- Last updated
- 2015-09-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.