Individual
MESSIAH MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
88 SMYRNA AVE, CLAYTON, DE 19938
(612) 483-0928
Mailing address
88 SMYRNA AVE, CLAYTON, DE 19938
(612) 483-0928
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
22780
MD
183500000X
Pharmacist
Primary
A1-0004577
DE
Other
Enumeration date
01/22/2015
Last updated
01/22/2015
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