Individual
ELLEN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
381 MARKET SQUARE DR, MAYSVILLE, KY 41056-8721
(606) 759-7973
(606) 759-2031
Mailing address
3125 S COLLINS RD, DOVER, KY 41034-9618
(606) 407-5130
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
010552
KY
Other
Enumeration date
02/02/2016
Last updated
02/02/2016
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