Individual
CANDEDA SHA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
300 CLINCHFIELD ST, KINGSPORT, TN 37660-3855
(423) 246-0047
(423) 245-0056
Mailing address
300 CLINCHFIELD ST, KINGSPORT, TN 37660-3855
(423) 246-0047
(423) 245-0056
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10444
TN
Other
Enumeration date
01/02/2017
Last updated
01/02/2017
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