Individual
BRETT MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 662-1680
Mailing address
2839 OAKWOOD DR, BOUNTIFUL, UT 84010-3231
(891) 448-1008
Taxonomy
Speciality
Code
Description
License number
State
1835P0200X
Pediatric Pharmacist
Primary
7521392-1701
UT
Other
Enumeration date
12/30/2021
Last updated
12/30/2021
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