Individual
MARINA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3171 DISTRICT AVE, CHARLOTTESVILLE, VA 22901-2784
(434) 328-7033
Mailing address
3171 DISTRICT AVE, CHARLOTTESVILLE, VA 22901-2784
(434) 328-7033
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202221186
VA
Other
Enumeration date
12/19/2023
Last updated
12/19/2023
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