Coey Moore
Pharmacist in Brookhaven, PA. Individual provider (NPI-1).
NPI number1801564166
StatusActive
Last updated in NPPESSep 1, 2021
Details
- NPI
- 1801564166
- Entity type
- Individual (NPI-1)
- Name
- Coey Moore
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 1, 2021
- Certification date
- Sep 1, 2021
- Last updated
- Sep 1, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | rp455672 | PA | Yes |
Practice location
4098 Edgmont AveBrookhaven, PA 19015-2211
Phone 610-876-8815
Mailing address
3807 Berleigh Hill CtBurtonsville, MD 20866-1394
Phone 240-506-1119
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