James Lee Moore, RPH

NPI #1306185392 in Onalaska, Wisconsin

Provider Information

NPI Number: 1306185392
Entity Type: Individual
Name: James Lee Moore, RPH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Feb 11, 2013
Last Updated: Feb 11, 2013

Practice Location

Address: 111 SAND LAKE RD
City: Onalaska
State: Wisconsin
ZIP Code: 54650-2760
Phone: (608) 775-8563

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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