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Individual

DR. JAMES JUDE MOORE JR.

Active
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Individual

DR. JAMES JUDE MOORE JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARM.D

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP445514
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RP445514
PHARMACIST LICENSE NUMBER
PA
01
RPI004591
AUTHORIZATION TO ADMINISTER INJECTABLES LICENSE
PA
Enumeration date
07/07/2012
Last updated
07/07/2012
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