Individual
CLAY W. MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.PH.
Contact information
Practice address
11101 HEFNER POINTE DR STE 101, OKLAHOMA CITY, OK 73120-5054
(405) 850-5571
Mailing address
11101 HEFNER POINTE DR STE 101, OKLAHOMA CITY, OK 73120-5054
(405) 850-5571
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10054
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100245800A
—
OK
Enumeration date
02/21/2019
Last updated
02/21/2019
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