Individual
DR. RANDALL ALAN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
THE NEBRASKA MEDICAL CENTER CLINIC PHARMACY, 989200 NEBRASKA MEDICAL CENTER, OMAHA, NE 68198-9200
(402) 559-6037
(402) 559-7150
Mailing address
2815 INGLEWOOD DR, PAPILLION, NE 68133-3365
(402) 339-2959
(402) 559-7150
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10943
NE
Other
Enumeration date
11/02/2006
Last updated
07/08/2007
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