Individual
SCOTT MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
275 S RIVER RD, ST GEORGE, UT 84790-2116
(435) 627-2037
Mailing address
275 S RIVER RD, ST GEORGE, UT 84790-2116
(435) 627-2037
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5660841
UT
Other
Enumeration date
06/15/2011
Last updated
06/15/2011
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