NPI 1154832954

Jerry Moore, DPH

Practitioner Pharmacist Guymon, OK

Practice location

Address: 1902 N Academy St, Guymon, OK 73942-2756
Phone: (580) 338-8421
Fax: (580) 338-0721

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 8564 (OK)

Other Pharmacist providers in Oklahoma →

Registry record

NPI: 1154832954
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Oct 2017
Record last updated: 16 Jun 2018

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.