# DR. MALLORY LOU MOORE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1326694167
- **Gender:** F
- **Credential:** PHARMD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1835P2201X | Ambulatory Care Pharmacist | 27693 | NC | Yes |
| 1835P2201X | Ambulatory Care Pharmacist | 41513 | TN | — |

## Other

- **Enumeration date:** 08/16/2019
- **Last updated:** 10/19/2023