Individual
ALICIA C MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19219 RIDGELAKE DR, LUTZ, FL 33549-8204
(813) 909-0609
(813) 874-0709
Mailing address
19219 RIDGELAKE DR, LUTZ, FL 33549-8204
(813) 909-0609
(813) 874-0709
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS0026108
FL
Other
Enumeration date
02/23/2007
Last updated
07/08/2007
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