Individual
WILLIAM D MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD.
Contact information
Practice address
1316 12TH AVE NW, ARDMORE, OK 73401-1285
(580) 223-5828
(580) 226-3902
Mailing address
1316 12TH AVE NW, ARDMORE, OK 73401-1285
(580) 223-5828
(580) 226-3902
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13246
OK
Other
Enumeration date
05/21/2019
Last updated
05/21/2019
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