Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMANDA MOON
Active Sole ProprietorAMANDA MOON is a Long-Term Care Pharmacy healthcare provider located in FIRESTONE, Colorado. NPI 1013316116 is currently active in the NPPES registry. Verify at CMS.
Long-Term Care Pharmacy · FIRESTONE, CO
Registration Details
- NPI Number
- 1013316116
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 14, 2014 (12.020498172447 yrs)
- Last Updated
- Jun 15, 2023
- License
-
24326 (CO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6110 FIRESTONE BLVDFIRESTONE, CO, 805046425Browse CO providers · Browse ZIP 80504
- Phone
- 3036824170
- Primary Specialty
-
Long-Term Care Pharmacy
3336C0003X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.