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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. SHAD MOON

Active

MR. SHAD MOON is a Pharmacist healthcare provider located in TYLER, Texas. NPI 1568063147 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · TYLER, TX

Registration Details

NPI Number
1568063147
Provider Type
Individual
Gender
Male
NPI Issued
Nov 2, 2020 (5.7608984670642 yrs)
Last Updated
Nov 2, 2020
License
35857 (TX)

Practice Information

Address
2025 S SOUTHWEST LOOP 323
TYLER, TX, 757010763
Browse TX providers · Browse ZIP 75701
Phone
9035971863
Primary Specialty
Pharmacist
183500000X

Other Pharmacist Providers in TYLER, TX

Name Credential NPI
DR. CHRISTOPHER L MAY PHARMD 1386642841
DR. JUSTIN S HOOPER PHARM.D., BCPS 1215939046
DR. LISA K SKARIAH PHARMD 1396717294
MRS. MELISSA DIANE MAEKER R.PH. 1487626362
MR. VINCENT ALIBRANDO R.PH. 1902878671
DR. PAMELLA OCHOA PHARM.D. 1669446027
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.