Individual
JULIANNE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 4000, MOUNTAIN HOME, TN 37684-4000
(423) 926-1171
Mailing address
1210 E CHILHOWIE AVE, JOHNSON CITY, TN 37601-3404
(828) 575-6362
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
34691
NC
Other
Enumeration date
07/21/2026
Last updated
07/21/2026
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