Individual
JOHN RUSSELL MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1626 HIGHWAY 12 S, ASHLAND CITY, TN 37015-3322
(615) 792-7720
(615) 792-5346
Mailing address
1626 HIGHWAY 12 S, ASHLAND CITY, TN 37015-3322
(615) 792-7720
(615) 792-5346
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4906
TN
Other
Enumeration date
04/25/2018
Last updated
04/25/2018
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