Ricky Moore JR.

NPI #1699489195 in Grayson, Kentucky

Provider Information

NPI Number: 1699489195
Entity Type: Individual
Name: Ricky Moore JR.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Jan 9, 2023
Last Updated: Jan 9, 2023

Practice Location

Address: 100 S CAROL MALONE BLVD
City: Grayson
State: Kentucky
ZIP Code: 41143-1352
Phone: (606) 474-4470

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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