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

Michael Brent Moore, DPH

Individual provider Pharmacist · NPI 1720122336

Michael Brent Moore, DPH is a Pharmacist in Bartlesville, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2007
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Practice location Address checks out

3400 E Frank Phillips Blvd Ste 203
Bartlesville, OK 74006-2495
Phone: (918) 331-2525
Fax: (918) 335-2589
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 10778 (OK)

Record details

NPI number1720122336
Entity typeIndividual (Type 1)
GenderMale
Credentials DPH
Sole proprietorYes
NPI enumeratedFebruary 16, 2007
Last updated in NPPESJuly 8, 2007

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