Ivy D Moore PD

NPI 1194943225 - Pharmacist - 183500000X

NPI Details
NPI 1194943225
Gender Female
Enumeration Date 04/23/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
134 N WASHINGTON
MAGNOLIA AR, 71753-2856, US
Phone (870) 234-1062
Fax
Business Location
P.O. BOX 597
MAGNOLIA AR, 71754, US
Phone (870) 234-1062
Fax
Toxanomy
Taxonomy Code 183500000X
License State Arkansas
License Number PD07920
Remove 1194943225 NPI Number
 

According to our database, Dr. Ivy D Moore PD NPI is 1194943225, taxonomy code is 183500000X and license number is PD07920, license state is located at Arkansas. Ivy D Moore PD physically located at 134 N Washington, Magnolia AR, 71753-2856. NPI Number Ivy D Moore PD has the Individual type.

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1194943225 NPI number is provided on an as is basis without warranty of any kind. 1194943225 is maintained by the National Plan & Provider Enumeration System. The contents of Ivy D Moore PD are for informational purposes only.