MR. Randall R Moore, RPH

NPI #1669537304 in Lewiston, Idaho

Provider Information

NPI Number: 1669537304
Entity Type: Individual
Name: MR. Randall R Moore, RPH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Dec 22, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 720 16TH AVE
City: Lewiston
State: Idaho
ZIP Code: 83501-3768
Phone: (208) 743-5528

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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