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CRYSTAL LYNN MOORE PHARMD

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1063849586

Individual Registrant:
 CRYSTAL LYNN MOORE PHARMD
Gender: F
Sole Proprietor

Location and contact information for practice:
700 MERRYWOOD LN  STAR CITY, AR 71667-5606 US
Tel: 870-628-6220  Fax: --

Contact information for business:
700 MERRYWOOD LN  STAR CITY, AR 71667-5606 US
Tel: 870-628-6220  Fax: --

Registration Information:
NPI: 1063849586
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
ARPD10599

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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