Individual
DR. TAMARA Y MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
3601 29TH AVE SW, CEDAR RAPIDS, IA 52404-3109
(319) 390-9925
(573) 875-1097
Mailing address
3601 29TH AVE SW, CEDAR RAPIDS, IA 52404-3109
(319) 390-9925
(319) 390-9943
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
03127283
OH
183500000X
Pharmacist
2012024154
MO
183500000X
Pharmacist
Primary
24114
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24114
IOWA BOARD OF PHARMACY
IA
Enumeration date
09/13/2011
Last updated
09/03/2024
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