Individual
WALTER LOUIS MOORE III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
425 WASHINGTON ST W, CHARLESTON, WV 25302-2130
(304) 342-6001
Mailing address
425 WASHINGTON ST W, CHARLESTON, WV 25302-2130
(304) 342-6001
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0003191
WV
Other
Enumeration date
01/15/2021
Last updated
01/15/2021
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