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Miss Kelley Nicole Moore, PHARMD
Pharmacist in St Louis Park, Minnesota
NPI 1417313784

Kelley Nicole Moore is a Pharmacist based in St Louis Park, MN. Kelley Nicole Moore practices in St Louis Park, MN and has the professional credentials of PHARMD. The NPI Number for Kelley Nicole Moore is 1417313784 and holds a License No. 121059 (Minnesota).

The current practice location address for Kelley Nicole Moore is 3745 Louisiana Ave S, St Louis Park, MN and can be reached out via phone at 952-926-0170 and via fax at 952-926-1125.

Location: 3745 Louisiana Ave S, St Louis Park, MN, 55426-4361
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417313784
Provider Name
Kelley Nicole Moore
Credential
PHARMD
Provider Entity Type
Individual
Gender
Female
Address
3745 Louisiana Ave S, St Louis Park, MN, 55426-4361
Phone Number
952-926-0170
Fax Number
952-926-1125
Provider Enumeration Date
01/02/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3745 Louisiana Ave S
City
St Louis Park
State
Minnesota
Zip
55426-4361
Phone Number
952-926-0170
Fax Number
952-926-1125
person
Provider Business Mailing Address Details
Address
3745 Louisiana Ave S
City
St Louis Park
State
Minnesota
Zip
55426-4361
Phone Number
952-926-0170
Fax Number
952-926-1125
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
121059 (Minnesota)
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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