Renee Marie Moore

Pharmacist · Carlyle, IL

Individual Active NPI

NPI number 1679173090

Practice location

2591 12TH St
Carlyle, IL 62231-6499
Phone
(618) 594-3670
Fax
(618) 594-3670

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NPI record

NPI
1679173090
Entity type
Individual (Type 1)
Enumeration date
October 26, 2020
Last updated
October 26, 2020
Certified
October 26, 2020
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 051286261 IL

Mailing address

501 Parkview Ln
Bartelso, IL 62218-1404
Phone
(618) 972-7666
Fax
(618) 594-3670

About Renee Moore

Renee Marie Moore is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 2591 12TH St, Carlyle, IL 62231-6499. The NPI number 1679173090 was assigned on October 26, 2020 and the record was last updated on October 26, 2020.

Renee Moore lists a license in the registry: #051286261 (IL) 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 Renee Marie Moore?

The NPI number is 1679173090.

What is the phone number of Renee Moore?

The phone number listed for the practice location is (618) 594-3670.

Where is Renee Moore located?

2591 12TH St, Carlyle, IL 62231-6499.

What is the taxonomy code for Renee 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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