Healthcare Provider Details

I. General information

NPI: 1407722465
Provider Name (Legal Business Name): THERESA EL MURR MOORE PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/15/2025
Last Update Date: 10/15/2025
Certification Date: 10/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1720 2ND AVE S
BIRMINGHAM AL
35294-0004
US

IV. Provider business mailing address

4620 DEER CREEK TRL
BESSEMER AL
35022-7942
US

V. Phone/Fax

Practice location:
  • Phone: 205-934-4011
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License Number20918
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: