Individual
SUSAN REED MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 12TH AVE NE, NORMAN, OK 73071-5324
(405) 579-5208
(405) 579-5210
Mailing address
601 12TH AVE NE, NORMAN, OK 73071-5324
(405) 579-5208
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12994
OK
Other
Enumeration date
11/21/2020
Last updated
11/21/2020
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