Provider Demographics
NPI:1326507658
Name:MOY, KARRIE (PHARMD)
Entity Type:Individual
Prefix:
First Name:KARRIE
Middle Name:
Last Name:MOY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17065 CARLSON DR APT 1211
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-6879
Mailing Address - Country:US
Mailing Address - Phone:720-238-4973
Mailing Address - Fax:
Practice Address - Street 1:1235 E EVANS AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-4531
Practice Address - Country:US
Practice Address - Phone:303-778-6069
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-16
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPHA.0021967183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist