Individual
ELISABETH MARIE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D
Contact information
Practice address
419 W BROAD ST, SAINT PAULS, NC 28384-1537
(910) 865-1242
(910) 865-1590
Mailing address
7212 HOLMFIELD RD, FAYETTEVILLE, NC 28306-7508
(910) 865-1242
(910) 865-1590
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16852
NC
Other
Enumeration date
05/14/2010
Last updated
05/14/2010
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