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Dr. Nicholas Antonio Moore, DOCTOROFPHARMACY
Pharmacist in Fairview Heights, Illinois
NPI 1265042691

Nicholas Antonio Moore is a Pharmacist based in Fairview Heights, IL. Nicholas Antonio Moore practices in Fairview Heights, IL and has the professional credentials of DOCTOROFPHARMACY. The NPI Number for Nicholas Antonio Moore is 1265042691 and holds a License No. S022386 (Illinois).

The current practice location address for Nicholas Antonio Moore is 604 Cherry Dr, Fairview Heights, IL and can be reached out via phone at 618-409-1573.

Location: 604 Cherry Dr, Fairview Heights, IL, 62208-2846
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265042691
Provider Name
Nicholas Antonio Moore
Credential
DOCTOROFPHARMACY
Provider Entity Type
Individual
Gender
Male
Address
604 Cherry Dr, Fairview Heights, IL, 62208-2846
Phone Number
618-409-1573
Fax Number
Provider Enumeration Date
07/31/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
604 Cherry Dr
City
Fairview Heights
State
Illinois
Zip
62208-2846
Phone Number
618-409-1573
Fax Number
person
Provider Business Mailing Address Details
Address
604 Cherry Dr
City
Fairview Heights
State
Illinois
Zip
62208-2846
Phone Number
618-409-1573
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
S022386 (Arizona)
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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