Individual
DR. AMANDA FULLER MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4712 PRESERVE RD, RALEIGH, NC 27610-9407
(919) 602-5111
Mailing address
4712 PRESERVE RD, RALEIGH, NC 27610-9407
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16817
NC
Other
Enumeration date
01/07/2026
Last updated
01/07/2026
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