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Individual
MRS. TIFFANY ANN MOORE
Active
Individual
MRS. TIFFANY ANN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17643
CO
183500000X
Pharmacist
3149
WY
183500000X
Pharmacist
PH00065407
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17643
PHARMACIST
CO
01
—
3149
PHARMACIST
WY
01
—
PH00065407
PHARMACIST
WA
Enumeration date
03/11/2007
Last updated
04/25/2010
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