Individual
DWIGHT MICHAEL MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1325 SPRING ST, GREENWOOD, SC 29646-3875
(864) 725-4166
Mailing address
1325 SPRING ST, GREENWOOD, SC 29646-3875
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5988
SC
Other
Enumeration date
10/08/2020
Last updated
10/08/2020
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