Individual
WADE LUCAS MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3952 US HIGHWAY 80 W, PHENIX CITY, AL 36870-6523
(334) 214-9129
(334) 214-9640
Mailing address
3952 US HIGHWAY 80 W, PHENIX CITY, AL 36870-6523
(334) 214-9129
(334) 214-9640
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
17258
AL
Other
Enumeration date
08/03/2015
Last updated
08/03/2015
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