Individual provider · Type 1 NPI
Kailey Lynn Moore
Pharmacist · Idaho Falls, ID
Practice location
376 West 18th Street
Idaho Falls, ID 83402
Mailing address
376 W 18th St
Idaho Falls, ID 83402-4445
Other practice locations
- 3475 E 17th St, Ammon, ID 83406-6781 · (208) 227-5083
- 1604 W Broadway St, Idaho Falls, ID 83402-3048 · (208) 522-4655
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Primary | 183500000X | P8030 (ID) |
Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…
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- Chad Michael Merrill, PHARM DPharmacist Idaho Falls, ID NPI 1033500038
- Stacy Short, PharmDPharmacist Idaho Falls, ID NPI 1043701931
- Whitney Jeanne Cooley, PharmDPharmacist Idaho Falls, ID NPI 1063762607
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About NPI 1013402809
Kailey Lynn Moore's National Provider Identifier is 1013402809, issued on Jun 25, 2018. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Idaho Falls, ID. The record was last updated on Jun 25, 2018.