Shannon Renee Moore

Pharmacist · Thomasville, GA

Individual Active NPI

NPI number 1265779102

Practice location

13775 Us 19 S
Thomasville, GA 31792-5398
Phone
(229) 228-6419
Fax
(229) 269-4422

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NPI record

NPI
1265779102
Entity type
Individual (Type 1)
Enumeration date
January 11, 2013
Last updated
September 26, 2024
Certified
September 26, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X RPH020367 GA

Mailing address

3330 Inner Perimeter Rd
Valdosta, GA 31602
Phone
(229) 671-9840
Fax
(229) 269-4422

About Shannon Moore

Shannon Renee Moore is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 13775 Us 19 S, Thomasville, GA 31792-5398. The NPI number 1265779102 was assigned on January 11, 2013 and the record was last updated on September 26, 2024.

Shannon Moore lists a license in the registry: #RPH020367 (GA) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Shannon Renee Moore?

The NPI number is 1265779102.

What is the phone number of Shannon Moore?

The phone number listed for the practice location is (229) 228-6419.

Where is Shannon Moore located?

13775 Us 19 S, Thomasville, GA 31792-5398.

What is the taxonomy code for Shannon Moore?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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