Moore, Charles Leon
Moore, Charles Leon is an sole proprietor health care provider with primary practice located at 2029 N Lincoln Ave , York NE 68467-1025. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Moore, Charles Leon can be contacted via phone (402) 362-4429.Contact Information
Primary practice address
2029 N Lincoln Ave
York NE 68467-1025
Phone: (402) 362-4429
Fax: (402) 362-4980
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 8476 | Nebraska |
Profile Details
| NPI number | 1063435527 |
|---|---|
| LBN Legal business name | Moore, Charles Leon |
| Credentials | R.PH |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 25th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063435527 | NPPES |
| Nebraska | Other | 8476 | STATE PHARMACY LICENSE |
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