Individual
KATEY MICHELLE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM. D.
Contact information
Practice address
2201 21ST AVE S, NASHVILLE, TN 37212-4906
(615) 269-6641
(615) 269-6752
Mailing address
2018 CONVENT PL, NASHVILLE, TN 37212-4211
(615) 498-9583
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
36782
TN
Other
Enumeration date
06/04/2013
Last updated
06/04/2013
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