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Mark Eastman Moore
NPI 1851996888 · on the registry since 2020
Practice
- Address
- 802 N Houston Rd
Warner Robins, GA 31093 - Phone
- (478) 923-5501
- Fax
- (478) 923-5944
- Organisation at this address
- Georgia Cvs Pharmacy Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Pharmacist
183500000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-11-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia