Eva Marie Moore, Pharmacist Intern
Student in an Organized Health Care Education/Training Program in Austin, TX. Individual provider (NPI-1).
NPI number1982109054
StatusActive
Last updated in NPPESMar 29, 2018
Details
- NPI
- 1982109054
- Entity type
- Individual (NPI-1)
- Name
- Eva Marie Moore
- Credential
- Pharmacist Intern
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 29, 2018
- Last updated
- Mar 29, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
2409 University AveAustin, TX 78712-1112
Phone 512-289-3255
Mailing address
7631 W Us Highway 290 Apt 814Austin, TX 78736-3623
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