Provider Demographics
NPI:1467609644
Name:MUOIO, ELIZABETH ANN (PHARM D)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:ANN
Last Name:MUOIO
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:ANN
Other - Last Name:HOUSEPIAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9207 PALAESTRUM RD
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:MI
Mailing Address - Zip Code:49690-9282
Mailing Address - Country:US
Mailing Address - Phone:610-310-2052
Mailing Address - Fax:
Practice Address - Street 1:550 MUNSON AVE STE G
Practice Address - Street 2:
Practice Address - City:TRAVERSE CITY
Practice Address - State:MI
Practice Address - Zip Code:49686-3580
Practice Address - Country:US
Practice Address - Phone:231-935-8739
Practice Address - Fax:231-935-8741
Is Sole Proprietor?:No
Enumeration Date:2008-08-19
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302038136183500000X
PARP-046264183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist