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Jeremy Randall Moffett
Pharmacist in Shreveport, Louisiana
NPI 1609161256

Jeremy Randall Moffett is a Pharmacist based in Shreveport, LA. Jeremy Randall Moffett practices in Shreveport, LA. The NPI Number for Jeremy Randall Moffett is 1609161256 and holds a License No. 16563 (Louisiana).

The current practice location address for Jeremy Randall Moffett is 7110 Youree Dr, Shreveport, LA and can be reached out via phone at 318-798-7860. You can also correspond with Jeremy Randall Moffett through the mailing address at 151 WATERS EDGE DR, SHREVEPORT, LA - 71106-7775 (mailing address contact number: 318-798-6593).

Location: 7110 Youree Dr, Shreveport, LA, 71106-7775
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609161256
Provider Name
Jeremy Randall Moffett
Credential
Provider Entity Type
Individual
Gender
Male
Address
7110 Youree Dr, Shreveport, LA, 71106-7775
Phone Number
318-798-7860
Fax Number
Provider Enumeration Date
06/11/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
7110 Youree Dr
City
Shreveport
State
Louisiana
Zip
71105-5107
Phone Number
318-798-7860
Fax Number
person
Provider Business Mailing Address Details
Address
7110 Youree Dr
City
Shreveport
State
Louisiana
Zip
71105-5107
Phone Number
318-798-7860
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
16563 (Louisiana)
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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