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

Stacey Moore

Individual provider Pharmacist · NPI 1942310404

Stacey Moore is a Pharmacist in Tifton, Georgia. Licensed in Georgia. Registered with an NPI since 2006.

Licensed in
GA
In the registry since
2006

Practice location Address checks out

111 8th St E
Tifton, GA 31794-4099
Phone: (229) 382-4541
Fax: (229) 388-1909
Show map & directions

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

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 019515 (GA)

Record details

NPI number1942310404
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 30, 2006
Last updated in NPPESNovember 27, 2020
Certification dateNovember 27, 2020
Mailing address366 Goss Dr, Ashburn, GA 31714-5111

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