Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Casey Moore

Individual provider Pharmacist · NPI 1205458080

Casey Moore is a Pharmacist in Tuba City, Arizona. Licensed in Ohio. Registered with an NPI since 2020.

Licensed in
OH
In the registry since
2020

Practice location Address checks out

167 Main St
Tuba City, AZ 86045-0600
Phone: (928) 283-2754
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 03439210 (OH)

Record details

NPI number1205458080
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 14, 2020
Last updated in NPPESMay 14, 2020
Certification dateMay 14, 2020

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