Miller Lee Moore, RPH is a
Pharmacist based in Energy, Illinois. Miller Lee Moore is licensed to practice in Illinois (license number 051032648) and his current practice location is
639 N Pershing St, Energy, Illinois. He can be reached at his office (for appointments etc.) via phone at
(618) 942-4631.
NPI number for Miller Lee Moore is 1740622414 and his current mailing address is Po Box 279, Energy, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1740622414.
Healthcare Provider's Profile
Full Name | Miller Lee Moore |
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Gender | Male |
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Speciality | Pharmacist |
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Location | 639 N Pershing St, Energy, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1740622414
- Provider Enumeration Date: 07/23/2013
- Last Update Date: 07/23/2013
Medical Identifiers
Medical identifiers for Miller Lee Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1740622414 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
183500000X | Pharmacist | 051032648 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miller Lee Moore is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Miller Lee Moore, RPH Po Box 279, Energy, IL 62933-0279 Ph: (618) 942-4631 | Miller Lee Moore, RPH 639 N Pershing St, Energy, IL 62933-3606 Ph: (618) 942-4631 |
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