Individual
MRS. KATHY Q. MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1207 W. MAIN ST., LEXINGTON, SC 29072
(803) 359-2587
Mailing address
1207 WEST MAIN ST, LEXINGTON, SC 29072-2614
(803) 359-2587
(803) 359-2587
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
SC 6220
SC
Other
Enumeration date
09/19/2012
Last updated
09/19/2012
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