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Mr. Randall R Moore, RPH
Pharmacist in Lewiston, Idaho
NPI 1669537304

Randall R Moore is a Pharmacist based in Lewiston, ID. Randall R Moore practices in Lewiston, ID and has the professional credentials of RPH. The NPI Number for Randall R Moore is 1669537304 and holds a License No. P3855 (Idaho).

The current practice location address for Randall R Moore is 720 16Th Ave, Lewiston, ID and can be reached out via phone at 208-743-5528 and via fax at 208-746-2785.

Location: 720 16Th Ave, Lewiston, ID, 83501-5274
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669537304
Provider Name
Randall R Moore
Credential
RPH
Provider Entity Type
Individual
Gender
Male
Address
720 16Th Ave, Lewiston, ID, 83501-5274
Phone Number
208-743-5528
Fax Number
208-746-2785
Provider Enumeration Date
12/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P3855 01 ID STATE LICENSE NO
institution
Provider Business Practice Location Address Details
Address
720 16Th Ave
City
Lewiston
State
Idaho
Zip
83501-3768
Phone Number
208-743-5528
Fax Number
208-746-2785
person
Provider Business Mailing Address Details
Address
720 16Th Ave
City
Lewiston
State
Idaho
Zip
83501-3768
Phone Number
208-743-5528
Fax Number
208-746-2785
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
P3855 (Idaho)
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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