Individual
BURL MOORE III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3201 N 16TH ST, PARSONS, KS 67357-3472
(620) 421-9200
Mailing address
18071 US HIGHWAY 59, PARSONS, KS 67357-8035
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-14269
KS
Other
Enumeration date
08/06/2014
Last updated
08/06/2014
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