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NPI Code Detail

MEDICARE: MR. PAUL M MOORE PHARM. D.

MEDICARE: MR. PAUL M MOORE PHARM. 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
1183500000XPharmacist053676-1NY

General Provider Information

NPI Number : 1831411248
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. PAUL M MOORE PHARM. D.
Provider Business Mailing Address
First Line : 87 GROVE ST
Second Line :
City : PEARL RIVER
State : NY
Zip : 10965-2512
Country : US
Telephone Number : 845-735-2110
Fax Number :
Provider Business Practice Location Address
First Line : 280 S MAIN ST
Second Line :
City : NEW CITY
State : NY
Zip : 10956-3327
Country : US
Telephone Number : 845-639-8150
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/26/2010
Last Update Date : 02/26/2010

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Directions to “ MR. PAUL M MOORE PHARM. D.” Practice Location

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