Individual
KEEGAN MORIARTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 N GEORGE ST, CHARLES TOWN, WV 25414-1573
(301) 676-6922
Mailing address
289 KENWOOD PL, WALKERSVILLE, MD 21793-8193
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0
WV
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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