Individual
ALEXUS MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5601 BANDERA RD, SAN ANTONIO, TX 78238-1986
(210) 647-2709
Mailing address
5601 BANDERA RD, SAN ANTONIO, TX 78238-1986
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
316072
TX
Other
Enumeration date
11/02/2022
Last updated
11/02/2022
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