Mr. Shad Moon
Mr. Shad Moon is a Pharmacist in Tyler, Texas. Licensed in Texas. Registered with an NPI since 2020.
- Licensed in
- TX
- In the registry since
- 2020
Practice location Address checks out
2025 S Southwest Loop 323Tyler, TX 75701-0763
Phone: (903) 597-1863
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pharmacist (primary) | Taxonomy 183500000X · Licence 35857 (TX) |
|---|
Record details
| NPI number | 1568063147 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | November 2, 2020 |
| Last updated in NPPES | November 2, 2020 |
| Certification date | November 2, 2020 |
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