MR. Thomas Lee Moore JR., RPH

NPI #1992896724 in Fairfax, Virginia

Provider Information

NPI Number: 1992896724
Entity Type: Individual
Name: MR. Thomas Lee Moore JR., RPH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Sep 27, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 3750 OLD LEE HIGHWAY
City: Fairfax
State: Virginia
ZIP Code: 22309-1870
Phone: (703) 246-7113

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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