Individual
ALEA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
103 N SHADY ST, MOUNTAIN CITY, TN 37683-1333
(423) 727-5651
Mailing address
103 N SHADY ST, MOUNTAIN CITY, TN 37683-1333
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
39468
TN
Other
Enumeration date
07/10/2015
Last updated
07/10/2015
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