Individual
JAMES LEE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
111 SAND LAKE RD, ONALASKA, WI 54650-2760
(608) 775-8563
Mailing address
111 SAND LAKE RD, ONALASKA, WI 54650-2760
(608) 775-8563
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12416
WI
183500000X
Pharmacist
13944
GA
Other
Enumeration date
02/11/2013
Last updated
02/11/2013
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