NPI 1073669354

Jaclyn Lee Moore, PHARMD

Practitioner Pharmacist Kamuela, HI

Practice location

Address: 67-1185 Mamalahoa Hwy, Kamuela, HI 96743-7304
Phone: (808) 885-2075
Fax: (808) 885-2061
Mailing address: PO Box 870, Honokaa, HI 96727-0870

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 2525 (HI)

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Registry record

NPI: 1073669354
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Jan 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.