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Colton Moorman Valid NPI

Individual provider · Pharmacist · Gravette, AR

NPI
1831791730
Type
Individual (Type 1)
Primary specialty
Pharmacist
Specialty group
Pharmacy Service Providers
Taxonomy code
183500000X
License number
PD13952 (AR)
Sex
Male
Sole proprietor
No
Enumerated
2020-11-15
Last updated
2020-11-15
Practice location
205 Atlanta St Se
Gravette, AR 72736-9364
(479) 787-5966

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