Individual
SCOTT MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
881 W BUCHANAN ST, PRAIRIE GROVE, AR 72753-2880
(479) 846-6901
Mailing address
881 W BUCHANAN ST, PRAIRIE GROVE, AR 72753-2880
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD11935
AR
Other
Enumeration date
11/09/2015
Last updated
11/09/2015
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