Individual
MARIAH MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
701 GROVE RD, GREENVILLE, SC 29605-4210
(864) 455-4744
Mailing address
2600 SILVER THREAD LN APT 301, DUNCAN, SC 29334-8558
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
43540
SC
Other
Enumeration date
08/02/2022
Last updated
08/02/2022
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