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Stacey Moore
Pharmacist in Tifton, Georgia
NPI 1942310404

Stacey Moore is a Pharmacist based in Ashburn, GA. Stacey Moore practices in Tifton, GA. The NPI Number for Stacey Moore is 1942310404 and holds a License No. 019515 (Georgia).

The current practice location address for Stacey Moore is 111 8Th St E, Tifton, GA and can be reached out via phone at 229-382-4541 and via fax at 229-388-1909.

Location: 111 8Th St E, Tifton, GA, 31714-5111
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942310404
Provider Name
Stacey Moore
Credential
Provider Entity Type
Individual
Gender
Female
Address
111 8Th St E, Tifton, GA, 31714-5111
Phone Number
229-382-4541
Fax Number
229-388-1909
Provider Enumeration Date
08/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
05012015 05 GA
institution
Provider Business Practice Location Address Details
Address
111 8Th St E
City
Tifton
State
Georgia
Zip
31794-4099
Phone Number
229-382-4541
Fax Number
229-388-1909
person
Provider Business Mailing Address Details
Address
111 8Th St E
City
Tifton
State
Georgia
Zip
31794-4099
Phone Number
229-382-4541
Fax Number
229-388-1909
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
019515 (Georgia)
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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