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NPI Code Detail

MEDICARE: MOLLY CATHRYN MOORE

MEDICARE: MOLLY CATHRYN 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
1183500000XPharmacist2023039438MO
2183500000XPharmacist2020002801MO

General Provider Information

NPI Number : 1497357388
Entity Type Code : Individual
Provider Name (Legal Business Name) : MOLLY CATHRYN MOORE
Provider Business Mailing Address
First Line : 2650 W KEARNEY ST
Second Line :
City : SPRINGFIELD
State : MO
Zip : 65803-2037
Country : US
Telephone Number : 417-865-1547
Fax Number :
Provider Business Practice Location Address
First Line : 2650 W KEARNEY ST
Second Line :
City : SPRINGFIELD
State : MO
Zip : 65803-2037
Country : US
Telephone Number : 417-865-1547
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2020
Last Update Date : 01/13/2026

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Directions to “ MOLLY CATHRYN MOORE ” Practice Location

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