Ricketa Moore, PHARM.D. Valid NPI
Individual provider · Pharmacist · Morrow, GA
- NPI
- 1386247989
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- RPH023368 (GA)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2020-11-17
- Last updated
- 2020-11-17
Practice location
7325 Jonesboro Rd
Morrow, GA 30260-2950
(678) 422-4854