Most Relevant Information
Provider Data
| NPI Number: | 1003352501 |
| Provider Name: | KIMBERLY ANN MOORE PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 75769 |
Most Important Dates
| Enumeration Date: | 01/09/2017 |
| Last Updated: | 01/09/2017 |
Provider Practice Location
174 DAPPLEGRAY RD
BELL CANYON
CA
913071011
Practice Location Phone/Fax
| Phone: | 8184816940 |
| Fax: |
Provider Mailing Location
174 DAPPLEGRAY RD
BELL CANYON
CA
913071011
Provider Mailing Phone/Fax
| Phone: | 8184816940 |
| Fax: |