Individual
MRS. LESIA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
6260 W MCGALLIARD RD, MUNCIE, IN 47304-9413
(765) 281-7833
Mailing address
1408 N OLIVEWOOD WAY, MUNCIE, IN 47304-9408
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26020316A
IN
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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