Moore, Mallory Lou
Moore, Mallory Lou is an individual health care provider with primary practice located at 200 Hawthorne Ln , Charlotte NC 28204-2515. She recently has only one registered license in Pharmacy Service Providers / Ambulatory Care, which is considered as her primary health care specialty. Moore, Mallory Lou can be contacted via phone (704) 316-4610.Contact Information
Primary practice address
200 Hawthorne Ln
Charlotte NC 28204-2515
Phone: (704) 316-4610
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Ambulatory Care | 1835P2201X | 27693 | North Carolina |
| Pharmacy Service Providers / Ambulatory Care | 1835P2201X | 41513 | Tennessee |
Profile Details
| NPI number | 1326694167 |
|---|---|
| LBN Legal business name | Moore, Mallory Lou |
| Credentials | PHARMD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 16th, 2019 |
| Last updated | Oct 19th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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