Carol Lynn Moore PHARMD, BCPS, BCACP

NPI 1851731368 - Pharmacist - 1835P1200X

NPI Details
NPI 1851731368
Gender Female
Enumeration Date 06/28/2013
Last Updated 06/28/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
2799 W GRAND BLVD
CFP-519
DETROIT MI, 48202-2608, US
Phone (313) 916-0777
Fax (313) 916-2554
Business Location
2799 W GRAND BLVD
CFP-519
DETROIT MI, 48202-2608, US
Phone (313) 916-0777
Fax (313) 916-2554
Toxanomy
Taxonomy Code 1835P1200X
License State Michigan
License Number 5302033156
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According to our database, Dr. Carol Lynn Moore PHARMD, BCPS, BCACP NPI is 1851731368, taxonomy code is 1835P1200X and license number is 5302033156, license state is located at Michigan. Carol Lynn Moore PHARMD, BCPS, BCACP physically located at 2799 W Grand Blvd, Detroit MI, 48202-2608. NPI Number Carol Lynn Moore PHARMD, BCPS, BCACP has the Individual type.

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1851731368 NPI number is provided on an as is basis without warranty of any kind. 1851731368 is maintained by the National Plan & Provider Enumeration System. The contents of Carol Lynn Moore PHARMD, BCPS, BCACP are for informational purposes only.