Individual
MS. VANESSA RAE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
843 CENTRAL ST, MILLINOCKET, ME 04462-2125
(207) 723-8148
Mailing address
105 OHIO STREET, MILLINOCKET, ME 04462-1935
(207) 233-4769
(207) 723-9548
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR5047
ME
Other
Enumeration date
03/21/2007
Last updated
11/22/2024
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