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General NPI Number Information
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NPI Number | 1598184160
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Entity Type | Individual
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Provider Name | ANNA M MOORE PHARMD
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Gender | Female
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Dates
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Enumeration Date | 04/10/2014
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Last Update Date | 04/14/2025
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Provider Practice Location Address
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Address Line | 360 HARBISON BLVD
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City | COLUMBIA
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State | SC
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Zip | 29212-2248
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Country | US
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Telephone | 803-732-0617
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Fax | 803-732-3172
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Provider Business Mailing Address
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Address Line | 7520 GARNERS FERRY RD
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City | COLUMBIA
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State | SC
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Zip | 29209-2628
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Country | US
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Telephone | 803-786-1664
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Fax | 803-783-1589
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 13341
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License Number State | SC
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