Individual
BEVERLY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2703 82ND ST, LUBBOCK, TX 79423-1429
(806) 745-3907
Mailing address
6808 ROCHESTER AVE, LUBBOCK, TX 79424-0704
(806) 787-7133
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
27759
TX
Other
Enumeration date
05/14/2018
Last updated
05/14/2018
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