Moore, Randall R
Moore, Randall R is an individual health care provider with primary practice located at 720 16Th Ave , Lewiston ID 83501-3768. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Moore, Randall R can be contacted via phone (208) 743-5528.Contact Information
Primary practice address
720 16Th Ave
Lewiston ID 83501-3768
Phone: (208) 743-5528
Fax: (208) 746-2785
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | P3855 | Idaho |
Profile Details
| NPI number | 1669537304 |
|---|---|
| LBN Legal business name | Moore, Randall R |
| Credentials | RPH |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 22nd, 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 | 1669537304 | NPPES |
| Idaho | Other | P3855 | STATE LICENSE NO |
Popular Providers
-
Auer, Brian Morgan
720 16Th Ave Suite 1, Lewiston ID 83501-3768 -
Hughes, Duane E
2102 Nez Perce Dr , Lewiston ID 83501-4116 -
Heitzman, Laura D
523 Thain Rd , Lewiston ID 83501-5530 -
Kolb, Todd
1203 Idaho St , Lewiston ID 83501-1940 -
Rogers, Petra Diana
1904 19Th Ave Rite Aid Pharmacy #5408, Lewiston ID 83501-4069 -
Ard, Carol Sue
1024 21St St , Lewiston ID 83501-3416 -
Gehring, Brook Marie
720 16Th Ave , Lewiston ID 83501-3768 -
Auer, Jonathan M
312 St.Johns Way Suite#2, Lewiston ID 83501