Individual
MR. RAYMOND EVERETT MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH
Contact information
Practice address
212 W CAROLINA AVE, HARTSVILLE, SC 29550-4520
(843) 332-5193
(888) 457-7543
Mailing address
212 W. CAROLINA AVE., NURSING HOME DISPENSORY, HARTSVILLE, SC 29550
(843) 332-5193
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6193
SC
Other
Enumeration date
02/13/2017
Last updated
02/13/2017
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