NPI 1487783635

Tracey L. Moore

Practitioner Pharmacy Technician Farmington, MO

Practice location

Address: 1010 W Columbia St, Farmington, MO 63640-2902
Phone: (573) 218-6792
Fax: (573) 218-6762
Mailing address: 302 W Sycamore St, Desloge, MO 63601-3412

Registered specialties

Pharmacy Technician Primary

Pharmacy Service Providers Taxonomy 183700000X Licence 2000145209 (MO)

Other Pharmacy Technician providers in Missouri →

Registry record

NPI: 1487783635
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Mar 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.