Organization
MOORE PHARMACY
Active
Other names
Moore Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY MOORE (PHARMACIST)
(931) 548-8308
Entity
Organization
Contact information
Practice address
1860 SHADY BROOK ST, COLUMBIA, TN 38401-3944
(931) 548-8308
(931) 548-8310
Mailing address
1860 SHADY BROOK ST, COLUMBIA, TN 38401-3944
(931) 548-8308
(931) 548-8310
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5843
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2162427
PK
—
Enumeration date
08/11/2016
Last updated
09/23/2016
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