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Individual

DR. BRIDGET ANTOINETTE MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARM. D.

Contact information

Practice address
655 7TH ST BLDG 700700A, 78 MDG/SGSD, ROBINS AFB, GA 31098-2227
(478) 327-8164
Mailing address
106 GLEN ARBOR LN, WARNER ROBINS, GA 31088-9133
(404) 718-0752

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
018719
LA
183500000X
Pharmacist
Primary
020240
GA

Other

Enumeration date
02/12/2007
Last updated
10/29/2013
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