Individual provider · Type 1 NPI
Nicholas Antonio Moore, DOCTOR OF PHARMACY
Pharmacist · Fairview Heights, IL
Practice location
604 Cherry Dr
Fairview Heights, IL 62208-2846
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist | 183500000X | S022386 (AZ) |
| Pharmacist Primary | 183500000X | 2016027148 (MO) |
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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About NPI 1265042691
Nicholas Antonio Moore, DOCTOR OF PHARMACY's National Provider Identifier is 1265042691, issued on Jul 31, 2020. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Fairview Heights, IL. The record was last updated on Jul 31, 2020.