NPI 1497146484
Melinda Moore
Practice location
- Address
- 3050 N Lewis Ave, Waukegan, IL 60087-2231
- Phone
- (847) 599-9079
- Mailing address
- 2521 N Augusta CT, Wadsworth, IL 60083-8907
Registered specialties
Pharmacy Technician
Primary
Registry record
- NPI
- 1497146484
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 11 Feb 2015
- Record last updated
- 11 Feb 2015
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.