Individual
CHASE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2345 HAPPY VALLEY RD, GLASGOW, KY 42141-8076
(270) 678-7350
(270) 678-7706
Mailing address
2345 HAPPY VALLEY RD, GLASGOW, KY 42141-8076
(270) 678-7350
(270) 678-7706
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
015109
KY
Other
Enumeration date
10/30/2020
Last updated
10/30/2020
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