Individual
DR. NICHELL MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
330 W DIMOND BLVD, ANCHORAGE, AK 99515-1903
(907) 267-7116
(907) 344-1297
Mailing address
330 W DIMOND BLVD, ANCHORAGE, AK 99515-1903
(907) 267-7116
(907) 344-1297
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1328
AK
Other
Enumeration date
11/17/2010
Last updated
11/17/2010
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