Provider Demographics
NPI:1831312883
Name:MOORE, MARGARET M (PHARMD)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:M
Last Name:MOORE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:MEG
Other - Middle Name:
Other - Last Name:MOORE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMD
Mailing Address - Street 1:1104 WESTBROOKE TER
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73072-6308
Mailing Address - Country:US
Mailing Address - Phone:405-818-6710
Mailing Address - Fax:405-321-7425
Practice Address - Street 1:1104 WESTBROOKE TER
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73072-6308
Practice Address - Country:US
Practice Address - Phone:405-818-6710
Practice Address - Fax:405-321-7425
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK10170183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist