Bethany B Moore

NPI #1134401003 in Harvey, Louisiana

Provider Information

NPI Number: 1134401003
Entity Type: Individual
Name: Bethany B Moore
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Sep 15, 2011
Last Updated: Sep 15, 2011

Practice Location

Address: 3416 LAKE ARROWHEAD DR
City: Harvey
State: Louisiana
ZIP Code: 70058-5533
Phone: (281) 796-9752

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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