Individual
DR. BRIAN D MOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3327 44TH AVE S, FARGO, ND 58104-6643
(701) 361-6237
Mailing address
3327 44TH AVE S, FARGO, ND 58104-6643
(701) 361-6237
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4750
ND
Other
Enumeration date
10/14/2006
Last updated
07/08/2007
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