Individual provider · Type 1 NPI

Randall R. Moore, RPH

Pharmacist · Lewiston, ID

NPI number 1669537304 Active

Practice location

720 16th Ave
Lewiston, ID 83501-3768

Fax (208) 746-2785

Mailing address

19054 Pine Ridge Ln
Lewiston, ID 83501-5274

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XP3855 (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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About NPI 1669537304

Randall R. Moore, RPH's National Provider Identifier is 1669537304, issued on Dec 22, 2006. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Lewiston, ID. The record was last updated on Jul 8, 2007.