Individual
DR. ROLAND MIKE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM'D
Contact information
Practice address
5500 E KELLOGG DR, WICHITA, KS 67218-1607
(316) 685-2221
(316) 634-3013
Mailing address
5500 E KELLOGG DR, WICHITA, KS 67218-1607
(316) 685-2221
(316) 634-3013
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9145
NE
Other
Enumeration date
07/19/2006
Last updated
11/09/2009
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