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Individual

ZANDRELL MOORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
340 LAKERIDGE CT, RIVERDALE, GA 30274-3934
(470) 458-8701
Mailing address
340 LAKERIDGE CT, RIVERDALE, GA 30274-3934
(470) 458-8701

Taxonomy

Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
PHTC011724
GA

Other

Enumeration date
01/31/2022
Last updated
01/31/2022
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