Individual
KIMBERLY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, M.S.
Contact information
Practice address
206 CORPORATE LAKE DR, COLUMBIA, MO 65203-7172
(573) 814-1170
Mailing address
1241 W STADIUM BLVD, JEFFERSON CITY, MO 65109-6023
(573) 556-7780
(737) 614-7145
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2009018200
MO
Other
Enumeration date
09/27/2011
Last updated
09/28/2022
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