Randall R Moore is a Pharmacist in Lewiston, Idaho. Randall R Moore practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Randall R Moore is 1669537304. The last update date is 2007-07-08.
Randall R Moore's current location address is 19054 Pine Ridge Ln, Lewiston, Idaho. You can contact this provider via phone number 2087985293. The mailing address for Randall R Moore is 19054 Pine Ridge Ln, Lewiston, Idaho. To know further, please read the information below!
Provider Profile Detail
Provider Name | Randall R Moore |
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Address | 19054 Pine Ridge Ln, Lewiston, Idaho |
Phone Number | 2087985293 |
Fax Number | |
Sole Proprietor | N |
Credentials | RPH |
NPI Number Detail
NPI Number | 1669537304 |
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Provider Enumeration Date | 2006-12-22 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 19054 Pine Ridge Ln |
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City | Lewiston |
State | Idaho (ID) |
Post Code | 835015274 |
Phone Number | 2087985293 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Pharmacist |
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Taxonomy | 183500000X |
Licence No | P3855 |
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 |
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P3855 | ID | STATE LICENSE NO |
Post Comment/ Review Below
What is the unique identification code assigned to Randall R Moore by the Centers for Medicare & Medicaid Services?
The Randall R Moore has been issued the NPI (National Provider Identifier) 1669537304. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Randall R Moore's physical address?
The Randall R Moore is physically located at 19054 Pine Ridge Ln, in the city of Lewiston, ID, with the postal code 835015274.
What is the Randall R Moore's specialty and taxonomy code?
The Randall R Moore's specialty is Pharmacist, and the corresponding taxonomy code is 183500000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1669537304 to Randall R Moore?
The Centers for Medicare & Medicaid Services originally issued the 1669537304 to Randall R Moore on 2006-12-22.
As of what date was the information regarding Randall R Moore, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Randall R Moore, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.