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NPI Code Detail

MEDICARE: DR. RAYMOND MOY

MEDICARE: DR. RAYMOND MOY
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
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist03438717OH

General Provider Information

NPI Number : 1457959033
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RAYMOND MOY
Provider Business Mailing Address
First Line : 199 GRACELAND BLVD
Second Line :
City : COLUMBUS
State : OH
Zip : 43214-1529
Country : US
Telephone Number : 614-410-1108
Fax Number :
Provider Business Practice Location Address
First Line : 199 GRACELAND BLVD
Second Line :
City : COLUMBUS
State : OH
Zip : 43214-1529
Country : US
Telephone Number : 614-410-1108
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/15/2020
Last Update Date : 05/19/2026

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Directions to “ DR. RAYMOND MOY ” Practice Location

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