Scott Moore

NPI #1043683204 in Prairie Grove, Arkansas

Provider Information

NPI Number: 1043683204
Entity Type: Individual
Name: Scott Moore
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Nov 9, 2015
Last Updated: Nov 9, 2015

Practice Location

Address: 881 W BUCHANAN ST
City: Prairie Grove
State: Arkansas
ZIP Code: 72753-2880
Phone: (479) 846-6901

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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