Individual
KATHERINE MCKEAN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
100 MEDICAL PLZ, LAKE ST LOUIS, MO 63367-1366
(636) 625-5308
Mailing address
100 MEDICAL PLZ, LAKE ST LOUIS, MO 63367-1366
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2015026770
MO
Other
Enumeration date
11/24/2021
Last updated
11/24/2021
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