Individual
DR. MALLORY LOU MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
200 HAWTHORNE LN, CHARLOTTE, NC 28204-2515
(704) 316-4610
Mailing address
900 E STONEWALL ST APT 513, CHARLOTTE, NC 28204-3084
(919) 302-2434
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
27693
NC
1835P2201X
Ambulatory Care Pharmacist
41513
TN
Other
Enumeration date
08/16/2019
Last updated
10/19/2023
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