Whalio Doctors

NPI 1235218603

Terry Mack Moore, DPH

Practitioner Pharmacist Guymon, OK

Practice location

Address
115 Medical Dr, Guymon, OK 73942-3606
Phone
(580) 338-7565
Fax
(580) 338-7302
Mailing address
1307 N Sunset Ln, Guymon, OK 73942-3142

Registered specialties

Pharmacist Primary
Pharmacy Service Providers Taxonomy 183500000X Licence 8742 (OK)

Registry record

NPI
1235218603
Entity type
Individual
Sex (as registered)
Male
NPI issued
4 Nov 2006
Record last updated
1 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.