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Individual

DR. ANDREW J MOYERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Contact information

Practice address
1600 E 23RD ST, CHATTANOOGA, TN 37404-5707
(423) 629-4155
(423) 622-4558
Mailing address
1600 E 23RD ST, CHATTANOOGA, TN 37404-5707
(423) 629-4155
(423) 622-4558

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10342
TN
1835N0905X
Nuclear Pharmacist
10342
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
011299
KENTUCKY BOARD OF PHARMACY
KY
01
10342
TENNESSEE BOARD OF PHARMACY
TN
Enumeration date
10/30/2012
Last updated
10/30/2012
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