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NPI Code Detail

MEDICARE: CRESCENT ELAYNE MOORE PHARM.D., PH.D.

MEDICARE: CRESCENT ELAYNE MOORE PHARM.D., PH.D.
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
1183500000XPharmacist0000029420TN

General Provider Information

NPI Number : 1396959326
Entity Type Code : Individual
Provider Name (Legal Business Name) : CRESCENT ELAYNE MOORE PHARM.D., PH.D.
Provider Business Mailing Address
First Line : 3200 W END AVE
Second Line :
City : NASHVILLE
State : TN
Zip : 37203-1330
Country : US
Telephone Number : 615-760-8767
Fax Number :
Provider Business Practice Location Address
First Line : 3200 W END AVE
Second Line :
City : NASHVILLE
State : TN
Zip : 37203-1330
Country : US
Telephone Number : 615-760-8767
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2007
Last Update Date : 06/21/2016

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