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Jerry Moore, DPH
Pharmacist in Guymon, Oklahoma
NPI 1154832954

Jerry Moore is a Pharmacist based in Guymon, OK. Jerry Moore practices in Guymon, OK and has the professional credentials of DPH. The NPI Number for Jerry Moore is 1154832954 and holds a License No. 8564 (Oklahoma).

The current practice location address for Jerry Moore is 1902 N Academy St, Guymon, OK and can be reached out via phone at 580-338-8421 and via fax at 580-338-0721.

Location: 1902 N Academy St, Guymon, OK, 73942-2756
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154832954
Provider Name
Jerry Moore
Credential
DPH
Provider Entity Type
Individual
Gender
Male
Address
1902 N Academy St, Guymon, OK, 73942-2756
Phone Number
580-338-8421
Fax Number
580-338-0721
Provider Enumeration Date
10/19/2017
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100235280A 05 OK
institution
Provider Business Practice Location Address Details
Address
1902 N Academy St
City
Guymon
State
Oklahoma
Zip
73942-2756
Phone Number
580-338-8421
Fax Number
580-338-0721
person
Provider Business Mailing Address Details
Address
1902 N Academy St
City
Guymon
State
Oklahoma
Zip
73942-2756
Phone Number
580-338-8421
Fax Number
580-338-0721
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
8564 (Oklahoma)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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