Stacey Moore is a Pharmacist in Ashburn, Georgia. Stacey Moore practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Stacey Moore is 1942310404. The last update date is 2020-11-27.
Stacey Moore's current location address is 366 Goss Dr, Ashburn, Georgia. You can contact this provider via phone number 2295671161. The mailing address for Stacey Moore is 366 Goss Dr, Ashburn, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacey Moore |
|---|---|
| Address | 366 Goss Dr, Ashburn, Georgia |
| Phone Number | 2295671161 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1942310404 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2020-11-27 |
Provider Mailing Address Detail
| Address | 366 Goss Dr |
|---|---|
| City | Ashburn |
| State | Georgia (GA) |
| Post Code | 317145111 |
| Phone Number | 2295671161 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 19515 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5012015 | GA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Stacey Moore by the Centers for Medicare & Medicaid Services?
The Stacey Moore has been assigned the NPI (National Provider Identifier) 1942310404. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Stacey Moore is geographically located?
The Stacey Moore is physically situated at the following location: 366 Goss Dr, Ashburn, GA, 317145111.
What is the Stacey Moore's area of specialization and corresponding taxonomy classification?
The Stacey Moore's specialty field is Pharmacist, and it falls under the taxonomy code 183500000X, which categorizes healthcare providers based on their specialties.
On what date did the Stacey Moore receive its 1942310404 assignment from the Centers for Medicare & Medicaid Services?
The Stacey Moore was assigned its 1942310404 by the Centers for Medicare & Medicaid Services on 2006-08-30.
As of what date were the details pertaining to Stacey Moore last refreshed?
The information related to the Stacey Moore, including its address, specialty, and other relevant details, was last updated on 2020-11-27.