Individual
CAROLE GOINS MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
10701 SUDLEY MANOR DR, MANASSAS, VA 20109-2845
(703) 335-1414
Mailing address
8550 SALTICK TERRACE, MANASSAS, VA 20112
(703) 335-1414
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202009848
VA
Other
Enumeration date
10/12/2011
Last updated
10/12/2011
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