Individual
BRIAN THOMAS MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
602 BACONS BRIDGE RD, SUMMERVILLE, SC 29485-4102
(843) 873-5853
Mailing address
5012 DESPESTRE ST, DANIEL ISLAND, SC 29492-8084
(843) 971-8466
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12413
SC
Other
Enumeration date
03/14/2011
Last updated
03/14/2011
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