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Individual
DR. ANDREW J MOYERS
Active
Individual
DR. ANDREW J MOYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10342
TN
1835N0905X
Nuclear Pharmacist
10342
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011299
KENTUCKY BOARD OF PHARMACY
KY
01
—
10342
TENNESSEE BOARD OF PHARMACY
TN
Enumeration date
10/30/2012
Last updated
10/30/2012
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