Tammy Lynn Moore

NPI #1356647424 in Indian Trail, North Carolina

Provider Information

NPI Number: 1356647424
Entity Type: Individual
Name: Tammy Lynn Moore
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Feb 7, 2011
Last Updated: Feb 7, 2011

Practice Location

Address: 4300 OLD MONROE RD
City: Indian Trail
State: North Carolina
ZIP Code: 28079-5305
Phone: (704) 821-6551

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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