DR. Nicholas Antonio Moore, DOCTOR OF PHARMACY
NPI #1265042691 in Fairview Heights, Illinois
Provider Information
- NPI Number
- 1265042691
- Entity Type
- Individual
- Name
- DR. Nicholas Antonio Moore, DOCTOR OF PHARMACY
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pharmacist
- Credential
- DOCTOR OF PHARMACY
- Enumeration Date
- Jul 31, 2020
- Last Updated
- Jul 31, 2020
Practice Location
- Address
- 604 CHERRY DR
- City
- Fairview Heights
- State
- Illinois
- ZIP Code
- 62208-2846
- Phone
- (618) 409-1573
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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