Individual
MR. MICHAEL MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
3269 N STOCKTON HILL RD, KINGMAN, AZ 86409-3619
(928) 263-4884
Mailing address
PO BOX 6056, KINGMAN, AZ 86402-6056
(928) 263-4884
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
8195
CT
Other
Enumeration date
11/21/2006
Last updated
10/21/2022
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