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Individual

LEWIS CURRIE MOORE JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPH

Contact information

Practice address
301 HENSLEE DR, DICKSON, TN 37055-2050
(615) 446-7485
Mailing address
301 HENSLEE DR, DICKSON, TN 37055-2050
(615) 446-7485

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3613
TN

Other

Enumeration date
09/17/2009
Last updated
09/17/2009
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