Individual
JOE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2401 N OCOEE ST, CLEVELAND, TN 37311-3853
(423) 476-5548
(423) 476-2629
Mailing address
PO BOX 3240, CLEVELAND, TN 37320-3240
(423) 476-5548
(423) 476-2629
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0000005558
TN
Other
Enumeration date
02/29/2016
Last updated
03/02/2016
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