Brian Thomas Moore PHARM D

NPI 1225336316 - Pharmacist - 183500000X

NPI Details
NPI 1225336316
Gender Male
Enumeration Date 03/14/2011
Last Updated 03/14/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
602 BACONS BRIDGE RD
SUMMERVILLE SC, 29485-4102, US
Phone (843) 873-5853
Fax
Business Location
5012 DESPESTRE ST
DANIEL ISLAND SC, 29492-8084, US
Phone (843) 971-8466
Fax
Toxanomy
Taxonomy Code 183500000X
License State South Carolina
License Number 12413
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According to our database, Brian Thomas Moore PHARM D NPI is 1225336316, taxonomy code is 183500000X and license number is 12413, license state is located at South Carolina. Brian Thomas Moore PHARM D physically located at 602 Bacons Bridge Rd, Summerville SC, 29485-4102. NPI Number Brian Thomas Moore PHARM D has the Individual type.

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1225336316 NPI number is provided on an as is basis without warranty of any kind. 1225336316 is maintained by the National Plan & Provider Enumeration System. The contents of Brian Thomas Moore PHARM D are for informational purposes only.