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Individual

AMBER DAWN MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2100 N SUMMIT ST, ARKANSAS CITY, KS 67005-3855
(620) 441-0283
(620) 441-0887
Mailing address
2100 N SUMMIT ST, ARKANSAS CITY, KS 67005-3855
(620) 441-0283
(620) 441-0887

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-13864
KS
183500000X
Pharmacist
13530
OK

Other

Enumeration date
09/01/2011
Last updated
09/01/2011
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