Tracey L. Moore

NPI #1487783635 in Farmington, Missouri

Provider Information

NPI Number: 1487783635
Entity Type: Individual
Name: Tracey L. Moore
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacy Technician
Enumeration Date: Mar 5, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1010 W COLUMBIA ST
City: Farmington
State: Missouri
ZIP Code: 63640-2902
Phone: (573) 218-6792

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy Technician	183700000X	Primary

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