Individual
CHARLES GREGORY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
22323 E VIA DEL JARDIN, QUEEN CREEK, AZ 85142-1236
(636) 290-9346
Mailing address
22323 E VIA DEL JARDIN, QUEEN CREEK, AZ 85142-1236
(636) 290-9346
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
009386
KY
183500000X
Pharmacist
Primary
16064
AZ
Other
Enumeration date
05/02/2021
Last updated
05/02/2021
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