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

MR. MICHAEL RAY MOORE, CPHT

Active Sole Proprietor

MR. MICHAEL RAY MOORE, CPHT is a Pharmacy Technician healthcare provider located in BROOKLINE, Massachusetts. NPI 1760081533 is currently active in the NPPES registry. Verify at CMS.

Pharmacy Technician · BROOKLINE, MA

Registration Details

NPI Number
1760081533
Provider Type
Individual
Gender
Male
NPI Issued
Oct 22, 2020 (5.7693017275294 yrs)
Last Updated
Jun 26, 2024
Licenses
39282 (TN)
VA61082215 (WA)
PHA-PTE-LIC-83395 (MT)
Sole Proprietor
Yes

Practice Information

Address
179 KENT ST
BROOKLINE, MA, 024465463
Browse MA providers · Browse ZIP 02446
Phone
6172999131
Primary Specialty
Pharmacy Technician
183700000X
Additional Specialty
Pharmacy Technician
Additional Specialty
Pharmacy Technician
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.