Individual
DR. MICHAEL RYAN MOORE II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
5125 W NORTHERN AVE, GLENDALE, AZ 85301-1402
(623) 842-1289
Mailing address
27511 N 19TH DR, PHOENIX, AZ 85085-5381
(623) 742-5867
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S017261
AZ
Other
Enumeration date
01/18/2010
Last updated
01/22/2010
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