Provider Demographics
NPI:1821370313
Name:MOORE, ERIC (RPH)
Entity type:Individual
Prefix:
First Name:ERIC
Middle Name:
Last Name:MOORE
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2434 SALUDA RD
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:SC
Mailing Address - Zip Code:29706-7497
Mailing Address - Country:US
Mailing Address - Phone:803-374-5442
Mailing Address - Fax:
Practice Address - Street 1:273 COMMONS DR
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:NC
Practice Address - Zip Code:28734-5250
Practice Address - Country:US
Practice Address - Phone:828-524-9311
Practice Address - Fax:828-369-3951
Is Sole Proprietor?:No
Enumeration Date:2011-09-12
Last Update Date:2024-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC9943183500000X
NC13320183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist