Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CARLY JOHNS MOODY
Active Sole ProprietorCARLY JOHNS MOODY is a Pharmacist healthcare provider located in SHERIDAN, Montana. NPI 1316421647 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · SHERIDAN, MT
Registration Details
- NPI Number
- 1316421647
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 22, 2018 (7.7485570408252 yrs)
- Last Updated
- Feb 22, 2021
- License
-
PHA-PHA-LIC-54887 (MT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
317 MADISON STSHERIDAN, MT, 597499636Browse MT providers · Browse ZIP 59749
- Phone
- 4068427434
- Primary Specialty
-
Pharmacist
183500000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.