Individual
MICHAEL BRENT MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.PH.
Contact information
Practice address
3400 E FRANK PHILLIPS BLVD, SUITE 203, BARTLESVILLE, OK 74006-2495
(918) 331-2525
(918) 335-2589
Mailing address
510 DORSETT CT, BARTLESVILLE, OK 74006-9000
(918) 335-6688
(918) 335-9787
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10778
OK
Other
Enumeration date
02/16/2007
Last updated
07/08/2007
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