Organization
MOORE PHARMACY
Active
Organization
MOORE PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRY D. MOORE DPH (OWNER-PHARMACIST)
(931) 548-8308
Entity
Organization
Contact information
Practice address
1860 SHADY BROOK ST, COLUMBIA, TN 38401-3944
(931) 548-8308
(931) 548-8310
Mailing address
1860 SHADY BROOK ST, COLUMBIA, TN 38401-3944
(931) 548-8308
(931) 548-8310
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
4533
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4533
STATE PHARMACY NUMBER
TN
Enumeration date
08/14/2008
Last updated
08/04/2016
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