Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. NICHOLAS ANTONIO MOORE, DOCTOR OF PHARMACY
Active Sole ProprietorDR. NICHOLAS ANTONIO MOORE, DOCTOR OF PHARMACY is a Pharmacist healthcare provider located in FAIRVIEW HEIGHTS, Illinois. NPI 1265042691 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · FAIRVIEW HEIGHTS, IL
Registration Details
- NPI Number
- 1265042691
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 31, 2020 (6.0340006531922 yrs)
- Last Updated
- Jul 31, 2020
- Licenses
-
S022386 (AZ)2016027148 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
604 CHERRY DRFAIRVIEW HEIGHTS, IL, 622082846Browse IL providers · Browse ZIP 62208
- Phone
- 6184091573
- Primary Specialty
-
Pharmacist
183500000X
- Additional Specialty
- Pharmacist
Other Pharmacist Providers in FAIRVIEW HEIGHTS, IL
| Name | Credential | NPI |
|---|---|---|
| MR. KELLY LOUIS MARLER | RPH | 1093047698 |
| MRS. AMY MICHELE WELSER | BS | 1356673578 |
| MRS. BECKY J TROST | RPH | 1427343060 |
| ALISON T BUSTARD | PHARM D | 1528348232 |
| MRS. KELLY ANN ODUM | RPH | 1538442272 |
| MR. RICHARD PAUL DONJON | R.PH. | 1942584149 |
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.