Charles Leon Moore is a Pharmacist in York, Nebraska. Charles Leon Moore practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Charles Leon Moore is 1063435527. The last update date is 2007-07-08.
Charles Leon Moore's current location address is 124 S Delaware Ave, York, Nebraska. You can contact this provider via phone number 4023626499 and fax number 4023624980. The mailing address for Charles Leon Moore is 124 S Delaware Ave, York, Nebraska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles Leon Moore |
|---|---|
| Address | 124 S Delaware Ave, York, Nebraska |
| Phone Number | 4023626499 |
| Fax Number | 4023624980 |
| Sole Proprietor | Y |
| Credentials | R.PH |
NPI Number Detail
| NPI Number | 1063435527 |
|---|---|
| Provider Enumeration Date | 2006-07-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 124 S Delaware Ave |
|---|---|
| City | York |
| State | Nebraska (NE) |
| Post Code | 684673902 |
| Phone Number | 4023626499 |
| Fax Number | 4023624980 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 8476 |
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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 |
|---|---|---|---|
| 8476 | NE | STATE PHARMACY LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Charles Leon Moore by the Centers for Medicare & Medicaid Services?
The Charles Leon Moore has been issued the NPI (National Provider Identifier) 1063435527, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Charles Leon Moore?
The Charles Leon Moore is physically situated at 124 S Delaware Ave, in the city of York, state of NE, with the postal code 684673902.
What is Charles Leon Moore's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Charles Leon Moore is Pharmacist, and the taxonomy code that categorizes this field of expertise is 183500000X.
On what date did the Charles Leon Moore receive the assignment of its 1063435527 from the Centers for Medicare & Medicaid Services?
The Charles Leon Moore was issued its 1063435527 by the Centers for Medicare & Medicaid Services on 2006-07-25.
As of what date was the information regarding Charles Leon Moore, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Charles Leon Moore, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.