Individual
KASEY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9200 N RODNEY PARHAM RD, LITTLE ROCK, AR 72227-6202
(501) 223-9814
Mailing address
9200 N RODNEY PARHAM RD, LITTLE ROCK, AR 72227-6202
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD13202
AR
Other
Enumeration date
06/22/2015
Last updated
06/22/2015
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