Robert Moore, RPH

NPI #1114936481 in Boise, Idaho

Provider Information

NPI Number: 1114936481
Entity Type: Individual
Name: Robert Moore, RPH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Aug 5, 2006
Last Updated: Jul 31, 2007

Practice Location

Address: 500 W FORT ST
Address 2: VA MEDICAL CENTER - 123
City: Boise
State: Idaho
ZIP Code: 83702-4501
Phone: (208) 422-1000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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