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Individual

DR. BREANNA BARBARA MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
2420 LINCOLN WAY, AMES, IA 50014-7448
(515) 292-2990
Mailing address
4015 NE 5TH ST, ANKENY, IA 50021-6945
(309) 235-6566

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
24600
IA

Other

Enumeration date
09/22/2022
Last updated
09/30/2022
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