Individual
ALONZO MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4850 FREEPORT BLVD, SACRAMENTO, CA 95822-2102
(916) 452-3811
(916) 452-5958
Mailing address
4850 FREEPORT BLVD, SACRAMENTO, CA 95822-2102
(916) 452-3811
(916) 452-5958
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
30162
CA
Other
Enumeration date
05/15/2014
Last updated
05/15/2014
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