IndividualActive
Bethany Moore
NPI 1134401003 · Pharmacist · Harvey, LA
Provider details
- NPI number
- 1134401003
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 018554 (LA)
Mailing address
3416 Lake Arrowhead Dr
Harvey, LA 70058-5533
Registry dates
- Enumerated
- 2011-09-15
- Last updated
- 2011-09-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.