NPI 1003106550

William R Moore, PHARMD

Practitioner Pharmacist Milledgeville, GA

Practice location

Address: 2400 N Columbia St, Milledgeville, GA 31061-2069
Phone: (478) 452-3589
Mailing address: 2400 N Columbia St STE 13, Milledgeville, GA 31061-2069

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence RPH022278 (GA)

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Registry record

NPI: 1003106550
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Apr 2011
Record last updated: 17 Apr 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.