SHANE MOORE

SALEM, OR
NPI1518230747
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: OR  0008833)
Enumeration Date2012-02-19
Last Update Date2012-02-19
Business Address
Mr. SHANE MOORE
2155 LANCASTER DR NE
SALEM, OR 97305-1228
Phone number: 503-588-8173
Mailing Address
Mr. SHANE MOORE
2155 LANCASTER DR NE
SALEM, OR 97305-1228
Phone number: