Individual
TONI GARNER MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
901 S 5TH ST, HARTSVILLE, SC 29550-5739
(843) 332-4523
Mailing address
3031 SPRING FANCY LN, INDIAN TRAIL, NC 28079-5233
(704) 821-4205
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8714
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15572
BOARD OF PHARMACY
NC
01
—
8714
BOARD OF PHARMACY
SC
Enumeration date
03/09/2020
Last updated
03/09/2020
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