Marvin Robert Moore PHARM.D.

NPI 1023008166 - Pharmacist - 183500000X

NPI Details
NPI 1023008166
Gender Male
Enumeration Date 10/27/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
1500 WASHINGTON ST
TWO RIVERS WI, 54241-3045, US
Phone (920) 794-1225
Fax
Business Location
1500 WASHINGTON ST
TWO RIVERS WI, 54241-3045, US
Phone
Fax
Toxanomy
Taxonomy Code 183500000X
License State Wisconsin
License Number 13645
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According to our database, Dr. Marvin Robert Moore PHARM.D. NPI is 1023008166, taxonomy code is 183500000X and license number is 13645, license state is located at Wisconsin. Marvin Robert Moore PHARM.D. physically located at 1500 Washington St, Two Rivers WI, 54241-3045. NPI Number Marvin Robert Moore PHARM.D. has the Individual type.

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1023008166 NPI number is provided on an as is basis without warranty of any kind. 1023008166 is maintained by the National Plan & Provider Enumeration System. The contents of Marvin Robert Moore PHARM.D. are for informational purposes only.