Individual
DR. JERRY P MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
510 N BROAD ST, SEAGROVE, NC 27341-8583
(336) 873-8246
(336) 873-8608
Mailing address
510 N BROAD ST, SEAGROVE, NC 27341-8583
(336) 873-8246
(336) 873-8608
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14929
NC
Other
Enumeration date
09/23/2014
Last updated
09/23/2014
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