Individual provider · Type 1 NPI

Shad Moon

Pharmacist · Tyler, TX

NPI number 1568063147 Active

Practice location

2025 S Southwest Loop 323
Tyler, TX 75701-0763

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X35857 (TX)

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…

2 other providers at this address

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About NPI 1568063147

Shad Moon's National Provider Identifier is 1568063147, issued on Nov 2, 2020. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Tyler, TX. The record was last updated on Nov 2, 2020.