Individual
DR. MARVIN ROBERT MOORE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
1500 WASHINGTON ST, TWO RIVERS, WI 54241-3045
(920) 794-1225
Mailing address
1500 WASHINGTON ST, TWO RIVERS, WI 54241-3045
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13645
WI
Other
Enumeration date
10/27/2005
Last updated
07/08/2007
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