MEDICARE: AUSTIN G MOORE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	24532	AL

General Provider Information

NPI Number	:	1528906906
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AUSTIN G MOORE

Provider Business Mailing Address
First Line	:	5295 TAMMY LITTLE DR
Second Line	:
City	:	SECTION
State	:	AL
Zip	:	35771-7203
Country	:	US
Telephone Number	:	256-228-7179
Fax Number	:	256-228-4614

Provider Business Practice Location Address
First Line	:	5295 TAMMY LITTLE DR
Second Line	:
City	:	SECTION
State	:	AL
Zip	:	35771-7203
Country	:	US
Telephone Number	:	256-228-7179
Fax Number	:	256-228-4614

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/24/2026
Last Update Date	:	03/24/2026

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Directions to “ AUSTIN G MOORE ” Practice Location

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