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NPI Code Detail

MEDICARE: DR. DAVID EDWARD MOORE PHARMD

MEDICARE: DR. DAVID EDWARD MOORE PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist22660NC

General Provider Information

NPI Number : 1891120192
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID EDWARD MOORE PHARMD
Provider Business Mailing Address
First Line : 6101 BRICK LANDING DR
Second Line :
City : MONROE
State : NC
Zip : 28110-7983
Country : US
Telephone Number : 704-516-7352
Fax Number :
Provider Business Practice Location Address
First Line : 1156 E CASWELL ST
Second Line :
City : WADESBORO
State : NC
Zip : 28170-2376
Country : US
Telephone Number : 704-694-2153
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/05/2013
Last Update Date : 09/05/2013

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