Individual
JOHN KEVIN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1 E MAIN ST, GREENBRIER, AR 72058-9208
(501) 679-2211
(501) 679-5146
Mailing address
PO BOX 128, GREENBRIER, AR 72058-0128
(501) 679-2211
(501) 679-5146
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD10985
AR
Other
Enumeration date
11/25/2020
Last updated
11/25/2020
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