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Michaela Moody

Pharmacist in Canton, GA. Individual provider (NPI-1).

NPI number1891663167
StatusActive
Last updated in NPPESOct 28, 2025

Details

NPI
1891663167
Entity type
Individual (NPI-1)
Name
Michaela Moody
Sex
Female
Sole proprietor
No
Enumeration date
Oct 28, 2025
Certification date
Oct 28, 2025
Last updated
Oct 28, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X PharmacistRPH035665GAYes

Practice location

450 Northside Cherokee Blvd
Canton, GA 30115-8015

Phone 770-224-1200

Mailing address

450 Northside Cherokee Blvd
Canton, GA 30115-8015

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