Shad Moon is a Pharmacist based in Tyler, TX. Shad Moon practices in Tyler, TX. The NPI Number for Shad Moon is 1568063147 and holds a License No. 35857 (Texas).
The current practice location address for Shad Moon is 2025 S Southwest Loop 323, Tyler, TX and can be reached out via phone at 903-597-1863.
Location: 2025 S Southwest Loop 323, Tyler, TX, 75701-0763
Provider Profile Details
NPI Number
1568063147
Provider Name
Shad Moon
Credential
Provider Entity Type
Individual
Gender
Male
Address
2025 S Southwest Loop 323, Tyler, TX, 75701-0763
Phone Number
903-597-1863
Fax Number
Provider Enumeration Date
11/02/2020
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
2025 S Southwest Loop 323
City
State
Zip
75701-0763
Phone Number
903-597-1863
Fax Number
Provider Business Mailing Address Details
Address
2025 S Southwest Loop 323
City
State
Zip
75701-0763
Phone Number
903-597-1863
Fax Number
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
License No.
35857 (Texas)
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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