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CRYSTAL LYNN MOORE PHARMD
>> Pharmacist >> Pharmacy Service ProvidersRegistrant NPI Number: 1063849586
Individual Registrant: CRYSTAL LYNN MOORE PHARMD
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
700 MERRYWOOD LN STAR CITY, AR 71667-5606 US
Tel: 870-628-6220 Fax: --
Tel: 870-628-6220 Fax: --
Contact information for business:
700 MERRYWOOD LN STAR CITY, AR 71667-5606 US
Tel: 870-628-6220 Fax: --
Tel: 870-628-6220 Fax: --
Registration Information:
NPI: 1063849586
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 183500000X | Pharmacy Service Providers Pharmacist | AR | PD10599 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
