Burl Moore III

NPI #1184033813 in Parsons, Kansas

Provider Information

NPI Number: 1184033813
Entity Type: Individual
Name: Burl Moore III
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Aug 6, 2014
Last Updated: Aug 6, 2014

Practice Location

Address: 3201 N 16TH ST
City: Parsons
State: Kansas
ZIP Code: 67357-3472
Phone: (620) 421-9200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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