Kris E Moose in Summersville - Pharmacist

Kris E Moose - NPI 1932270295

Kris E Moose is a Pharmacist in Summersville, . Kris E Moose practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Kris E Moose is 1932270295. The last update date is 2007-07-08.

Kris E Moose's current location address is 1129 Broad St, Summersville, . You can contact this provider via phone number 3048729000 and fax number 3048724419. The mailing address for Kris E Moose is 1129 Broad St, Summersville, . To know further, please read the information below!

Provider Profile Detail

Provider Name Kris E Moose
Address 1129 Broad St, Summersville,
Phone Number 3048729000
Fax Number 3048724419
Sole Proprietor Y
Credentials RPH

NPI Number Detail

NPI Number 1932270295
Provider Enumeration Date 2006-11-10
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1129 Broad St
City Summersville
State (WV)
Post Code 266511838
Phone Number 3048729000
Fax Number 3048724419

Provider's Primary Taxonomy Detail

Speciality Pharmacist
Taxonomy 183500000X
Licence No RP0005845
Definition:
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 m

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
RP0005845 WV PHARMACIST LICENSE

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FAQs about Kris E Moose

What is the Kris E Moose's unique identification number?

The Kris E Moose has been assigned the NPI (National Provider Identifier) Number 1932270295 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete physical location address of Kris E Moose?

The Kris E Moose is physically situated at 1129 Broad St, in the city of Summersville, state of WV, with the postal code 266511838.

What is the Kris E Moose's specialty and taxonomy code?

The Kris E Moose's specialty is Pharmacist, and the corresponding taxonomy code is 183500000X.

On what date did the Kris E Moose receive its 1932270295 assignment from the Centers for Medicare & Medicaid Services?

The Kris E Moose was assigned its 1932270295 by the Centers for Medicare & Medicaid Services on 2006-11-10.

As of what date were the Kris E Moose's details last updated?

The information pertaining to the Kris E Moose, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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