Individual
LAUREN ROSE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1000 BROAD ST, SUMTER, SC 29150-2505
(803) 773-7302
Mailing address
1110 BRENNEN RD, COLUMBIA, SC 29206-4519
(803) 565-2346
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
37777
SC
Other
Enumeration date
07/13/2018
Last updated
07/13/2018
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