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Individual

BRIAN MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1725 S BURLINGTON BLVD, BURLINGTON, WA 98233-3223
(360) 510-8402
Mailing address
1725 S BURLINGTON BLVD, BURLINGTON, WA 98233-3223
(360) 510-8402

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00047599
WA
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
PH00047599
WA

Other

Enumeration date
01/27/2017
Last updated
12/31/2019
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