Jared Moore, PHARMD

NPI 1245593284 · on the registry since 2012 · sole proprietor

Practice

Address: 800 E 17th St
Idaho Falls, ID 83404
Phone: (208) 201-5599
Organisation at this address: Shopko Stores Operating Co Llc
Shopko Stores Operating Co. Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: Pharmacist
183500000X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2012-06-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho