Provider Demographics
NPI:1518338342
Name:MOORE, LINDA EHLIG (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:EHLIG
Last Name:MOORE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9511 HUFFMEISTER RD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77095-2865
Mailing Address - Country:US
Mailing Address - Phone:832-617-0290
Mailing Address - Fax:832-510-4003
Practice Address - Street 1:9511 HUFFMEISTER RD
Practice Address - Street 2:SUITE 104
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77095-2865
Practice Address - Country:US
Practice Address - Phone:832-617-0290
Practice Address - Fax:832-510-4003
Is Sole Proprietor?:No
Enumeration Date:2015-10-20
Last Update Date:2015-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX54929183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist