Individual
AMY MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
28 BERTHE CIR, COLORADO SPRINGS, CO 80906-3631
(719) 332-0877
Mailing address
28 BERTHE CIR, COLORADO SPRINGS, CO 80906-3631
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0020686
CO
183500000X
Pharmacist
13823
AL
Other
Enumeration date
01/26/2021
Last updated
01/26/2021
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