Mr Russell T Moore, PHARM D | |
339 9th Ave Sw, Lafayette, AL 36862-2803 | |
(334) 864-7781 | |
(334) 864-0096 |
Full Name | Mr Russell T Moore |
---|---|
Gender | Male |
Speciality | Pharmacist |
Location | 339 9th Ave Sw, Lafayette, Alabama |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962673848 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
183500000X | Pharmacist | 14177 (Alabama) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Russell T Moore, PHARM D 339 9th Ave Sw, Lafayette, AL 36862-2803 Ph: (334) 864-7781 | Mr Russell T Moore, PHARM D 339 9th Ave Sw, Lafayette, AL 36862-2803 Ph: (334) 864-7781 |
Brent Fuller, R.PH. Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 339 9th Ave Sw, Lafayette, AL 36862 Phone: 334-864-7781 | |
Andrew Wagner, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 4295 County Road 12, Lafayette, AL 36862 Phone: 334-332-1661 |