Jamison Cary Moore, DPH Valid NPI
Individual provider · Pharmacist · Muskogee, OK
- NPI
- 1417542705
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- 18773 (OK)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2021-03-08
- Last updated
- 2021-03-08
Practice location
1011 Honor Heights Dr
Muskogee, OK 74401-1318
(918) 577-3000