Individual provider · Type 1 NPI

Shannon Renee Moore

Pharmacist · Thomasville, GA

NPI number 1265779102 Active

Practice location

13775 US 19 S
Thomasville, GA 31792-5398

Fax (229) 269-4422

Mailing address

3330 Inner Perimeter Rd
Valdosta, GA 31602

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XRPH020367 (GA)

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 1265779102

Shannon Renee Moore's National Provider Identifier is 1265779102, issued on Jan 11, 2013. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Thomasville, GA. The record was last updated on Sep 26, 2024.