Individual
MARY ANNE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D, RPH
Contact information
Practice address
12400 E MARGINAL WAY S, TUKWILA, WA 98168-2559
(206) 901-4509
Mailing address
12400 E MARGINAL WAY S, TUKWILA, WA 98168-2559
(206) 901-4509
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH 00056720
WA
Other
Enumeration date
10/30/2008
Last updated
10/30/2008
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