Individual
JASON MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH., PHARM.D.
Contact information
Practice address
1019 CUMBERLAND FALLS HWY, CORBIN, KY 40701-2735
(606) 526-0755
Mailing address
1019 CUMBERLAND FALLS HWY, CORBIN, KY 40701-2735
(606) 526-0755
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
012388
KY
Other
Enumeration date
10/21/2020
Last updated
10/21/2020
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