Moore, Jason Lloyd

Moore, Jason Lloyd is an individual health care provider with primary practice located at 790 Highway 110 , Mendota Heights MN 55120-1509. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Moore, Jason Lloyd can be contacted via phone (651) 414-3787.

Contact Information

Primary practice address
790 Highway 110 Mendota Heights MN 55120-1509
Phone: (651) 414-3787
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 120158 Minnesota

Profile Details

NPI number 1295011989
LBN Legal business name Moore, Jason Lloyd
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2011
Last updated Oct 26th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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