Individual
GEORGE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
304 SILVER GROVE ST, LAS VEGAS, NV 89144-4104
(702) 871-1623
Mailing address
304 SILVER GROVE ST, LAS VEGAS, NV 89144-4104
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14703
NV
Other
Enumeration date
10/12/2011
Last updated
10/12/2011
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