Moore, Ronnie Jaye

Moore, Ronnie Jaye is an individual health care provider with primary practice located at 861 Robinwood Rd , Township Of Washington NJ 07676-4244. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Moore, Ronnie Jaye can be contacted via phone (201) 851-4804.

Contact Information

Primary practice address
861 Robinwood Rd Township Of Washington NJ 07676-4244
Phone: (201) 851-4804
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 052895 New York
Pharmacy Service Providers / Pharmacist 183500000X 28RI03022800 New Jersey

Profile Details

NPI number 1083867535
LBN Legal business name Moore, Ronnie Jaye
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2008
Last updated Oct 28th, 2008 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1083867535 NPPES
New York MEDICAID 01686479

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