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Search › Texas › Pharmacist

Shad Moon

NPI 1568063147 · on the registry since 2020

Practice

Address: 2025 S Southwest Loop 323
Tyler, TX 75701
Phone: (903) 597-1863
Organisation at this address: Sams East Inc
Sam'S Club Optical
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: Pharmacist
183500000X
Licence states on file: TX
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2020-11-02

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 Texas