Individual
CAMILLE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6419 SKILLMAN ST, DALLAS, TX 75231-7109
(214) 343-7418
Mailing address
811 GREEN TREE CT, DUNCANVILLE, TX 75137-2922
(214) 642-9536
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
67713
TX
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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