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

Renee Marie Moore

Individual provider Pharmacist · NPI 1679173090

Renee Marie Moore is a Pharmacist in Carlyle, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2020
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Practice location Address checks out

2591 12th St
Carlyle, IL 62231-6499
Phone: (618) 594-3670
Fax: (618) 594-3670
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 051286261 (IL)

Record details

NPI number1679173090
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 26, 2020
Last updated in NPPESOctober 26, 2020
Certification dateOctober 26, 2020
Mailing address501 Parkview Ln, Bartelso, IL 62218-1404

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