IndividualActive
Jerry Moore, D.PH
NPI 1154832954 · Pharmacist · Guymon, OK
Provider details
- NPI number
- 1154832954
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- D.PH
- Sex
- Male
- Sole proprietor
- No
- License
- 8564 (OK)
Practice location
1902 N Academy St
Guymon, OK 73942-2756
Phone: (580) 338-8421
Fax: (580) 338-0721
Mailing address
1902 N Academy St
Guymon, OK 73942-2756
Registry dates
- Enumerated
- 2017-10-19
- Last updated
- 2018-06-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.