Individual
JACQUELYN MARIE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
1649 MAIN ST, BILLINGS, MT 59105-4043
(406) 254-2947
Mailing address
1649 MAIN ST, BILLINGS, MT 59105-4043
(406) 254-2947
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
18503
NV
183500000X
Pharmacist
Primary
6655
MT
183500000X
Pharmacist
70425
CA
183500000X
Pharmacist
P6746
ID
Other
Enumeration date
07/25/2012
Last updated
03/09/2022
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