Provider Demographics
NPI:1467708362
Name:MOORE, CYLE RIDLEY (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CYLE
Middle Name:RIDLEY
Last Name:MOORE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:CYLE
Other - Middle Name:RIDLEY
Other - Last Name:CASEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:2001 NEUSE BLVD
Mailing Address - Street 2:
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28560-3454
Mailing Address - Country:US
Mailing Address - Phone:252-672-8365
Mailing Address - Fax:252-672-0166
Practice Address - Street 1:2001 NEUSE BLVD
Practice Address - Street 2:
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28560-3454
Practice Address - Country:US
Practice Address - Phone:252-672-8365
Practice Address - Fax:252-672-0166
Is Sole Proprietor?:No
Enumeration Date:2012-07-28
Last Update Date:2012-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC22695183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist