Healthcare Provider Details

I. General information

NPI: 1821370313
Provider Name (Legal Business Name): ERIC MOORE R.PH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/12/2011
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12 CONGRESS ST N STE A
YORK SC
29745-1529
US

IV. Provider business mailing address

2434 SALUDA RD
CHESTER SC
29706-7497
US

V. Phone/Fax

Practice location:
  • Phone: 803-818-4116
  • Fax:
Mailing address:
  • Phone: 803-374-5442
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number9943
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number13320
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: