Individual
KRISTEN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
26100 VREELAND RD, FLAT ROCK, MI 48134-1692
(734) 984-1110
Mailing address
25738 CONNERY DR, FLAT ROCK, MI 48134-1816
(662) 524-5435
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
5303034532
MI
Other
Enumeration date
04/20/2021
Last updated
04/20/2021
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