Individual
DIANA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
6010 AMARILLO BLVD W (119), AMARILLO, TX 79106
(806) 355-9703
Mailing address
8003 PILGRIM DR, AMARILLO, TX 79119-4964
(806) 290-5197
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
44534
TX
Other
Enumeration date
10/03/2019
Last updated
10/03/2019
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