National Provider Identifier
Kelly J. Moon, RPH
Kelly J. Moon, RPH is listed in the NPPES registry with a primary specialty of Pharmacist in Jamestown, NY and a listed phone number of (716) 661-1520.
Profile Overview
- NPI
- 1881712230
- Provider Type
- Individual
- Primary Specialty
- Pharmacist
- Enumeration Date
- March 26, 2007
- Last Updated
- July 08, 2007
Practice Location
- 12 Carroll St
- Jamestown, NY 14701-4755
Phone: (716) 661-1520
Mailing Address
- 32 Durand St
- Frewsburg, NY 14738-9537
Specialties
- Pharmacist (183500000X)
Full Record
- NPI
- 1881712230
- Entity Type
- Individual
- Last Name
- Moon
- First Name
- Kelly
- Middle Name
- J.
- Credential
- RPH
- Mailing Street Address
- 32 Durand St
- Mailing City
- Frewsburg
- Mailing State
- NY
- Mailing ZIP Code
- 14738-9537
- Mailing Country
- US
- Mailing Phone
- (716) 569-4331
- Mailing Fax
- (716) 661-4833
- Practice Street Address
- 12 Carroll St
- Practice City
- Jamestown
- Practice State
- NY
- Practice ZIP Code
- 14701-4755
- Practice Country
- US
- Practice Phone
- (716) 661-1520
- Practice Fax
- (716) 661-4833
- Enumeration Date
- March 26, 2007
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pharmacist (183500000X)